JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v4i2.2333 jpsim.v4i2.2333 STUDENT CORNER Prevalence, Clinical Spectrum and Electro-diagnostic Features of Carpal Tunnel Syndrome in Patients Presented to a Territory Care Hospital Iqbal Komal Bano Safia safiabano207@gmail.com * Numan Ahsan Department of Neurology, King Edward Medical University, Mayo Hospital, Lahore *Correspondence: Safia Bano (safiabano207@gmail.com) 02 06 2023 2023 4 2 155 159 13 01 2023 17 03 2023 Copyright © 2023 The Author(s) 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

To determine frequency, etiologies, clinical and electrodiagnostic features of the Carpal tunnel syndrome (CTS)

 Methodology

A descriptive cross-sectional study was performed in neurology department Mayo Hospital Lahore. After taking the approval from ethical committee of King Edward Medical University Lahore, 94 patients were included study from July 2022 to December 2022. Patients diagnosed as CTS on the basis of history, clinical examination of age 18-70 years were selected. Patients with history suggestive of polyneuropathy and radiculopathy were excluded from the study. Information was collected on the pre-designed performa along with other demographic variables.

 Results

Out of 861 patients of neuropathies due to various disorders, 94 patients were having CTS with over all prevalence was 10%. A total of 94 patients were evaluated with a mean age of 40.4±11.1. Among them, 79.8% were females and 20.02% were males. In electrodiagnostic settings 57.4% patients had unilateral and 42.6% had bilateral carpal tunnel syndrome (CTS). Idiopathic Carpal tunnel syndrome, and obesity were the main etiologies with prevalence of 53.1% and 26.8% respectively and 6.3% diabetic patients had isolated carpal tunnel syndrome. According to electrophysiological criteria of carpal tunnel syndrome, 21.5% cases were mild, 54.2% were moderate, and 23.4% were severe.

 Conclusion

Carpal tunnel syndrome is more prevalent in females than in males. Idiopathic carpal tunnel syndrome (CTS) is most frequently encountered in electrodiagnostic laboratory. It is recommended to evaluate contralateral asymptomatic side in the clinically diagnosed patients because symptomatic carpal tunnel syndrome in one hand usually comes with the asymptomatic carpal tunnel syndrome (CTS) in the contralateral hand.

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