PREVALENCE AND SEVERITY OF CARPAL TUNNEL SYNDROME (CTS) DURING PREGNANCY BASED ON ELECTEROPHYSIOLOGIC STUDIES

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SHAAFI SH.; NAIMIAN SH.; IROMLOU H.; SAYYAH MELLI M.

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Journal: Shiraz E-Medical Journal Year:2006 | Volume:7 | Issue:3 Page(s): 0-0

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Title

PREVALENCE AND SEVERITY OF CARPAL TUNNEL SYNDROME (CTS) DURING PREGNANCY BASED ON ELECTEROPHYSIOLOGIC STUDIES

Author(s)

SHAAFI SH. | NAIMIAN SH. | IROMLOU H. | SAYYAH MELLI M. | Issue Writer Certificate

Keywords

CARPAL TUNNEL SYNDROME

PREGNANCY

ELECTROPHYSIOLOGIC STUDIES

Abstract

CARPAL TUNNEL SYNDROME is entrapment of median nerve in carpal tunnel of the wrist. This syndrome is associated with many conditions such as PREGNANCY which is one of the most frequent conditions. Up to 20% of pregnant women complain of nocturnal hands paresthesia. CTS is often bilateral and more severe in dominant hand. This syndrome can be diagnosed by manifestations and electroneurodiagnostic studies. Sensory nerve conduction velocity of median nerve is the most sensitive electroneurodiagnostic test for diagnosis, which is latent in 70-90% of patients. Treatment of CTS on the basis of severity of the syndrome is different from conservative to surgery for releasing the nerve. The aim of this study is to determine frequency and severity of CTS by electroneurodiagnostic studies in 90 pregnant women. Also it attempts to clarify the role of some factors such as age, gravity, trimester of PREGNANCY and body mass Index in patients with CTS. Finally it compares symptomatic and asymptomatic women with electroneurodiagnostic studies. This study is cross-sectional analytic research. A convenience sample of 90 pregnant women (30 women from each trimester) was referred from Al-Zahra Hospital of the electrodiagnostic ward of Emam hospital. All of the cases have been examined clinically and then by electroneurodiagnostic tests. There were suspected symptoms of CTS in 45 patients .The most frequent symptom and sign were hands paresthesia(34%) and positive tinel and phalen sign ( each 22%).CTS was definite diagnosis in 15 women (16.6%) by electroneurodiagnostic studies. Mild bilateral involvement was seen in 73.3% of patients. There was a meaningful relationship between CTS and trimester that 26.6% of patients were at third trimester. Also there was a meaningful relation to age. The CTS was more frequent in older women. BMI and gravity relationships with CTS were not meaningful. It was concluded that CTS is frequent in PREGNANCY and this frequency increases in older women and in third trimester. However CTS Symptoms are frequent in PREGNANCY but not all the cases have definite diagnosis. Fortunately CTS during PREGNANCY is often mild and relieves with conservative treatments. More attention must be paid to Electroneurodiagnostic studies in this patients for definite diagnosis and assure the patients that it is a benign and curable disturbance.

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References

CARPAL TUNNEL SYNDROME DURING PREGNANCY, PREVALENCE AND BLOOD LEVEL OF PYRIDOXINE

Cite

APA: Copy

SHAAFI, SH., NAIMIAN, SH., IROMLOU, H., & SAYYAH MELLI, M.. (2006). PREVALENCE AND SEVERITY OF CARPAL TUNNEL SYNDROME (CTS) DURING PREGNANCY BASED ON ELECTEROPHYSIOLOGIC STUDIES. SHIRAZ E MEDICAL JOURNAL, 7(3), 0-0. SID. https://sid.ir/paper/299425/en

Vancouver: Copy

SHAAFI SH., NAIMIAN SH., IROMLOU H., SAYYAH MELLI M.. PREVALENCE AND SEVERITY OF CARPAL TUNNEL SYNDROME (CTS) DURING PREGNANCY BASED ON ELECTEROPHYSIOLOGIC STUDIES. SHIRAZ E MEDICAL JOURNAL[Internet]. 2006;7(3):0-0. Available from: https://sid.ir/paper/299425/en

IEEE: Copy

SH. SHAAFI, SH. NAIMIAN, H. IROMLOU, and M. SAYYAH MELLI, “PREVALENCE AND SEVERITY OF CARPAL TUNNEL SYNDROME (CTS) DURING PREGNANCY BASED ON ELECTEROPHYSIOLOGIC STUDIES,” SHIRAZ E MEDICAL JOURNAL, vol. 7, no. 3, pp. 0–0, 2006, [Online]. Available: https://sid.ir/paper/299425/en

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