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CASE REPORT Table of Contents   
Year : 2020  |  Volume : 30  |  Issue : 2  |  Page : 229-232
A rare cause of median neuropathy at the carpal tunnel: Thrombosis of the persistent median artery


1 Department of Radiodiagnosis, Aster CMI Hospital, Bengaluru, Karnataka, India
2 Department of Neurology, Aster CMI Hospital, Bengaluru, Karnataka, India
3 Department of Neurology, Janakpuri Super Speciality Hospital, New Delhi, India
4 Department of Neurology and Clinical Neurophysiology, St. Elisabeth Hospital, Tilburg, Netherland

Correspondence Address:
Dr. Lokesh Bathala
Department of Neurology, Aster CMI Hospital, Bengaluru - 560 092, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijri.IJRI_423_19

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Carpal tunnel syndrome is a common peripheral nerve entrapment neuropathy caused due to compression of the median nerve at the level of the wrist joint. Bifid median nerve associated with a persistent median artery is a rare entity and in itself asymptomatic anatomical variant. However, distension of the persistent median artery due to a thrombus can be symptomatic due to compression on the median nerve and can compromise the blood flow to the palm. We report a case of persistent median artery thrombosis in a young female patient who presented with symptoms of carpal tunnel syndrome diagnosed on the ultrasonography and confirmed on the MRI with subsequent improvement post anticoagulation therapy.


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