Karpal Tünel Sendromunda Ultrasonografi ve Manyetik Rezonans Görüntülemenin Tanıya Katkıları

Year 2020, , 97 - 103, 01.03.2020

Sinan Deniz , Aylin Altan

https://doi.org/10.17343/sdutfd.568512

Abstract

Giriş:
Çalışmada; klinik ve elektrodiagnostik inceleme sonucu
karpal tünel sendromu (KTS) tanısı alan hastalarda ultrasonografi (US) ve
manyetik rezonans (MR) görüntülemenin tanıya katkısını değerlendirmek
amaçlanmıştır.

Hastalar ve Yöntem: KTS ön tanısı ile
uygulanan elektromiyografi (EMG) incelemesi pozitif sonuçlanan 27 hastanın 41
el bileği, US ve MR ile tetkik edilmek üzere çalışmaya dahil edildi. El bileği
bölgesini ilgilendiren geçirilmiş travma, operasyon ve steroid enjeksiyonu
öyküsü olanlar çalışma dışı bırakıldı.

Bulgular:
Olguların yaş ortalaması 46,1 yıl olup %92,6’sı kadındı.
Tutulum olguların 6’sında sağ, 7’sinde sol ve 14’ünde bilateral idi. US ile 41
el bileğinin %90,2’sinde, MR ile %92,7’sinde KTS’yi destekleyecek primer ve
sekonder bulgular saptandı. Ayrıca iki olguda karpal kemiklerde dejeneratif
kistik rezorpsiyon, bir olguda ganglion kisti ve bir olguda bifid median sinir
varyasyonu tespit edildi.

Sonuç:
Klinik muayene ve/veya elektrodiagnostik tetkik ile KTS
tanısı alan hastalarda US ve MR değerlendirmeleri; öngörülecek medikal veya
cerrahi tedavi öncesinde gerek median sinirin hasarı ile ilişkili bulguları
ortaya koyması gerekse yandaş anatomik ve patolojik durumları ortaya çıkarması
yönünden yararlıdır.

Keywords

Karpal tünel sendromu, median sinir tuzak nöropatisi, ultrasonografi, manyetik rezonans görüntüleme, elektromiyografi

Supporting Institution

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Project Number

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Thanks

Hasta seçimi ve elektromiyografilerin yorumlanmasında Nöroloji Uzmanı Dr. Burcu Ertuğrul’a katkılarından dolayı teşekkür ederiz.

Contribution of Ultrasonography and Magnetic Resonance Imaging to the Diagnosis of Carpal Tunnel Syndrome

Abstract

Objective: The
present study aimed to evaluate the contribution of ultrasonography (US) and
magnetic resonance (MR) imaging to the diagnosis of patients diagnosed with
carpal tunnel syndrome (CTS) based on clinical and electrodiagnostic studies.

Patients and Methods: A
total of 41 wrists of 27 patients with positive findings in electromyography
(EMG) studies performed due to a pre-diagnosis of CTS were included in the
study to be examined by US and MR imaging. Patients with a history of wrist
trauma, surgery, and steroid injection were excluded.

Results: The
mean age of the cases was 46.1 years and 92.6% of the cases were female. Of the
patients, 6 had right-sided, 7 had left-sided, and 14 had bilateral CTS.
Primary and secondary findings that support CTS were detected by US and MR
imaging in 90.2% and 92.7% of the 41 wrists, respectively. Moreover,
degenerative cystic resorption of the carpal bones was detected in two,
ganglion cyst was detected in one, and bifid median nerve was detected in one
case.

Conclusion: US
and MR imaging examinations in patients diagnosed with CTS based on clinical
examination and/or electrodiagnostic studies are valuable in terms of both
exhibiting the signs of median nerve injury and detecting concomitant
anatomical and pathological conditions prior to the anticipated medical or
surgical treatment.

Keywords

Carpal tunnel syndrome, median nerve entrapment neuropathy, ultrasonography, magnetic resonance imaging, electromyography

Project Number

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