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Prevalence, Clinical Spectrum and Electro-diagnostic Features ofCarpal Tunnel Syndrome in Patients Presented to a Territory CareHospital

Komal Iqbal
Department of Neurology, King Edward Medical University, Mayo Hospital, Lahore
Safia Bano
Department of Neurology, King Edward Medical University, Mayo Hospital, Lahore
Ahsan Numan
Department of Neurology, King Edward Medical University, Mayo Hospital, Lahore

✉ Correspondence: Safia Bano Email: safiabano207@gmail.com

DOI https://doi.org/10.70302/jpsim.v4i2.2333
Volume: 4, Issue 2 Pages: 155–159 Published: 02 Jun 2023
Received: 13 Jan 2023 Accepted: 17 Mar 2023 Published Online: 02 Jun 2023

Abstract

Objective

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

Methods

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.

Keywords
Carpal tunnel syndrome (CTS) median entrapment neuropathy (MEN) electrodiagnostic (EDX study)

How to Cite This Article

Iqbal K, Bano S, Numan A. Prevalence, Clinical Spectrum and Electro-diagnostic Features ofCarpal Tunnel Syndrome in Patients Presented to a Territory CareHospital. J Pak Soc Intern Med. 2023;4(2):155–159. doi:10.70302/jpsim.v4i2.2333

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2023 Journal of Pakistan Society of Internal Medicine.
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