Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report

Background and Importance: Klippel-Trénaunay syndrome is a rare congenital condition that rarely affects peripheral nerves. Median nerve involvement at the carpal tunnel level has only been reported on four occasions of this syndrome in the medical literature. Case Presentation: A 61-year-old Caucas...

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Main Author: Joan Arenas-Prat
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2020-07-01
Series:Iranian Journal of Neurosurgery
Subjects:
Online Access:http://irjns.org/article-1-204-en.pdf
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author Joan Arenas-Prat
author_facet Joan Arenas-Prat
author_sort Joan Arenas-Prat
collection DOAJ
description Background and Importance: Klippel-Trénaunay syndrome is a rare congenital condition that rarely affects peripheral nerves. Median nerve involvement at the carpal tunnel level has only been reported on four occasions of this syndrome in the medical literature. Case Presentation: A 61-year-old Caucasian female patient with Klippel-Trénaunay syndrome presented with a 10-month history of paraesthesia and numbness affecting the median nerve distribution area of her left hand. The clinical and neurophysiological examination confirmed a moderately severe carpal tunnel syndrome that required surgical decompression. Conclusion: Pre-operative findings demonstrated diffuse vascular infiltration and engorgement of the median nerve. Flexor tendons had a normal appearance. The patient had a satisfactory post-operative period with full resolution of her symptoms 4 weeks after the procedure. Although peripheral nerves are rarely affected in patients with Klippel-Trénaunay syndrome, neurological symptoms could indicate nerve involvement and magnetic resonance imaging (MRI) examination should be considered to further assess the extension of the lesion.
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spelling doaj.art-8b7298fc8efd4cdeb59a7d2f27023fb72023-07-17T13:29:15ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292020-07-0163161164Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case ReportJoan Arenas-Prat0 Serveis Mèdics Penedès, Department of Orthopedics, Barcelona, Catalonia, Spain. Background and Importance: Klippel-Trénaunay syndrome is a rare congenital condition that rarely affects peripheral nerves. Median nerve involvement at the carpal tunnel level has only been reported on four occasions of this syndrome in the medical literature. Case Presentation: A 61-year-old Caucasian female patient with Klippel-Trénaunay syndrome presented with a 10-month history of paraesthesia and numbness affecting the median nerve distribution area of her left hand. The clinical and neurophysiological examination confirmed a moderately severe carpal tunnel syndrome that required surgical decompression. Conclusion: Pre-operative findings demonstrated diffuse vascular infiltration and engorgement of the median nerve. Flexor tendons had a normal appearance. The patient had a satisfactory post-operative period with full resolution of her symptoms 4 weeks after the procedure. Although peripheral nerves are rarely affected in patients with Klippel-Trénaunay syndrome, neurological symptoms could indicate nerve involvement and magnetic resonance imaging (MRI) examination should be considered to further assess the extension of the lesion.http://irjns.org/article-1-204-en.pdfklippel-trénaunay syndromecarpal tunnel syndromemedian nerve
spellingShingle Joan Arenas-Prat
Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report
Iranian Journal of Neurosurgery
klippel-trénaunay syndrome
carpal tunnel syndrome
median nerve
title Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report
title_full Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report
title_fullStr Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report
title_full_unstemmed Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report
title_short Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report
title_sort carpal tunnel syndrome associated with klippel trenaunay syndrome a case report
topic klippel-trénaunay syndrome
carpal tunnel syndrome
median nerve
url http://irjns.org/article-1-204-en.pdf
work_keys_str_mv AT joanarenasprat carpaltunnelsyndromeassociatedwithklippeltrenaunaysyndromeacasereport