Syndrome du canal carpien par thrombose d’une artère médiane persistante
DOI:
https://doi.org/10.55715/jaim.v18i1.898Abstract
Carpal tunnel syndrome is a common peripheral neuropathy, most often idiopathic or post-traumatic. It causes neuropathic pain in the median nerve area. Persistent of the median nerve artery is an anatomical variant rarely found in adults. Its thrombosis is not uncommon and can cause carpal tunnel syndrome.
In this clinical case, we will describe the radiological signs of carpal tunnel syndrome due to persistent median artery thrombosis in a 41-year-old subject, followed by a literature review.
RÉSUMÉ
Le syndrome du canal carpien est une neuropathie périphérique fréquente, le plus souvent idiopathique ou post-traumatique. Il entraîne des douleurs neuropathies dans le territoire du nerf médian. La persistance de l’artère du nerf médian est une variante anatomique rarement retrouvée chez l’adulte. Sa thrombose n’est pas rare et peut être à l’origine d’un syndrome du canal carpien.
Nous allons à travers ce cas clinique décrire la sémiologie radiologique du syndrome du canal carpien par thrombose de l’artère médiane persistante chez un sujet de 41 ans suivi d’une revue de la littérature.
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Avenel M, Miranda S, Benhamou Y, Michelin P, Boyer JC, Levesque H, et al. Canal carpien aigu : penser à la thrombose de l’artère persistante du nerf median. Rev Méd Int, 40.7 (2019) : 453-456
Chammas M, Boretto J, Burmann L, Ramos RM, Dos Santos Neto FC, Silva JB, et al. Carpal tunnel syndrom. Rev Bras Ortop.2014 ;49 :429-36.
Khashaba A. Carpal tunnel syndrom from thrombosed persistent median artery. J Emerg Med. 2002 ; 22 : 55-7
Dahman A, Matter-Parrat V, Manguila F. Syndrome du canal carpien aigu par thrombose de l’artère médiane : cause inhabituelle chez le sportif. Chirurgie de la main, 2014 ; 33 : 462
Balakrishnan C, Smith MF, Puri P. Acute carpal tunnel syndrome from thrombosed persistent median artery. J Emerg Med 1999 ; 17 : 437-9
Kopuz C, Baris S, Gulman B. A further morphological study of the persistent median artery in neonatal cadavers. Surg Radiol Anat 1997 ; 19 : 403-406.
McCormack LJ, Cauldwell EW, Ansin BJ. Brachial et antebrachial arterial patterns ; a study of 750 extremities. Surg Gynecol Obstet 1953 ; 96 : 43-54.
Carry PM, Nguyen AK, Merritt GR, Ciarallo C, Chatterjee D, Park J, et al. Prevalence of persistent median arteries in the pediatric population on ultrasonography. J Ultrasound Med 2018 ; 37 : 2235-42.
Chen L, Chen J, Hu B, Jiang LX. Sonographic findings of the bifid median nerve and persistent median artery in carpal tunnel: A preliminary study in Chinese individuals. Clinics (Sao Paulo) 2017 ; 72 : 358-62
Barfred C, Hojlund AP, Bertheussen K. Median artery carpal tunnel syndrom. J Hand Surg Am 1985 ;10 : 864-68
Boulon C, Maillet A, Skopinski S, Constans J. Artère persistante du nerf median et syndrome du canal carpien : intérêt de l’échographie-doppler. Press Med. 2016 ;45 : 707
Vag T, Koch M, Waldt K. Acute carpal tunnel syndrome from dissected and thrombosed persistent median artery diagnosed at magnetic resonance imaging. Rofo. 2012 ; 184 : 829-30
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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Copyright @2017. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted non-commercial used, distribution and reproduction in any medium
