Karpal Tünel Sendromu

Abstract

Carpal tunnel syndrome(CTS) is an entrapment neuropathy of the median nerve at the wrist. CTS’s the most common pathogenesis is thickening flexor retinaculum. The reason of thickening is unclear. Collagen tissue disease, diabetes mellitus, obesite, pregnancy, myxedema, tumors, acute or chronic trauma of forearm, wrist or hand are common things and illness which accompanies with CTS. Nevertheless; in the most patient the cause of CTS is often not apparent and this is called idiopatic carpal tunnel syndrome. Unless associated with direct trauma, the onset of symptoms of CTS is usually nocturnal and insidious. 􀄝nitially, patients suffers paresthesia and dysesthesia in the hand. The diagnosis of CTS based on clinic features. If the diagnosis is uncertain and before surgery, electrophysiologic studies may be useful. In the treatment hand splints, non-steroid antiinflammatory drugs, ultrasound, electrical nerve stimullation may be useful. If the pain and dysesthesia is severe surgery decompresion operation may be done.

Keywords

• Carpal Tunnel Syndrome
• Nocturnal Paresthesia
• Median Nerve

Karpal Tünel Sendromu

Abstract

Karpal tünel sendromu (KTS) median sinirin bilekte tuzak nöropatisidir. KTS’ nin patogenezinde en sık görülen, karpal tünel içi basıncın artmasıdır. Kalınlaşmanın nedeni ise çok açık değildir. Kollajen doku hastalıkları, diabetes mellitus, şişmanlık, gebelik, miksödem, tümörler, ön kol, bilek veya ele akut yada kronik travma KTS ile birlikte görülen bazı hastalık ve durumlardır. Yine de; hastaların çoğunda altta yatan bir neden bulunmaz ve bu tabloya idiyopatik KTS denir. Direkt travma olmadığı sürece KTS semptomlarının başlangıcı nokturnal ve sinsidir. Başlangıçta hastalar elde parestezilerden ve dizestezilerden rahatsızdırlar. KTS tanısı klinik olarak konur. Tanıdan şüphelenilen durumlarda, cerrahi öncesi elektrofizyolojik yöntemlerden yararlanılabilir. Tedavide gece ateli, non-steroid antienflamatuar ilaçlar, ultrason, elektiriksel sinir uyarısı gibi yöntemler kullanılabilir. Cerrahi dekompresyon ağrı ve uyulmanın dayanılmaz olduğu durumlarda veya motor kayıp varsa düşünülmelidir.

Keywords

• Karpal Tünel Sendromu
• Gece Parestezisi
• Median Sinir

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