Carpal tunnel syndrome and acromegaly.

Abstract:

:50 patients with acromegaly and carpal tunnel syndrome have been examined electrophysiologically before and after transnasal operation of the pituitary adenoma. 32 of the 50 patients (64%) had symptoms of carpal tunnel syndrome. 13 of them had neurological deficits. 28 of the examined patients had pathological neurographical findings only. About 1 week post-operatively DL was decreased in 43%; in 10 out of 13 patients with neurological deficits DL decreased. GH was normalized in 80% and reduced to 5-10 micrograms/l in a further 10%. The investigation did not show whether the carpal tunnel syndrome only depended on a GH increase or on other factors also such as e.g., on the duration of symptoms or tissue changes. None of the patients had the transversal carpal ligament operated on. The coincidence between acromegaly and carpal tunnel syndrome was 64%. In 3 cases the carpal tunnel syndrome was the leading sign to the diagnosis of acromegaly.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Baum H,Lüdecke DK,Herrmann HD

doi

10.1007/BF01420508

subject

Has Abstract

pub_date

1986-01-01 00:00:00

pages

54-5

issue

1-2

eissn

0001-6268

issn

0942-0940

journal_volume

83

pub_type

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