Carpal Tunnel Syndrome in Patients on Long-Term Hemodialysis

KIMURA, I., SEKINO, H., AYYAR, D.R., KIMURA, N., SASO, S. and MAKINO, M. Carpal Tunnel Syndrome in Patients on Long-Term Hemodialysis. Tohoku J. exp. Med., 1986, 148 (3), 257-266 - Sixteen cases with carpal tunnel syndrome (CTS) were reported out of 412 patients on long-term hemodialysis due to chro...

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Veröffentlicht in:The Tohoku Journal of Experimental Medicine 1986, Vol.148(3), pp.257-266
Hauptverfasser: KIMURA, ITARU, SEKINO, HIROSHI, AYYAR, D.R., KIMURA, NORIKO, SASO, SHUN-ICHI, MAKINO, MUTSUO
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container_issue 3
container_start_page 257
container_title The Tohoku Journal of Experimental Medicine
container_volume 148
creator KIMURA, ITARU
SEKINO, HIROSHI
AYYAR, D.R.
KIMURA, NORIKO
SASO, SHUN-ICHI
MAKINO, MUTSUO
description KIMURA, I., SEKINO, H., AYYAR, D.R., KIMURA, N., SASO, S. and MAKINO, M. Carpal Tunnel Syndrome in Patients on Long-Term Hemodialysis. Tohoku J. exp. Med., 1986, 148 (3), 257-266 - Sixteen cases with carpal tunnel syndrome (CTS) were reported out of 412 patients on long-term hemodialysis due to chronic renal failure. Clinical symptoms included numbness in the area innervated by the median nerve in 100% of symptomatic hands and pain in the wrist and hand in 81%. This pain usually became severer at night and during hemodialysis. Muscle atrophy was noted in 41% of the hands. Nerve conduction studies revealed prolonged distal sensory latency, slowed sensory nerve conduction velocity across the wrist and normal distal motor latency in 18%, prolonged distal motor latency in 51% and no response in motor or sensory stimulation in 31%. Evidence of denervation on electromyography was seen in 36% of the hands. Patients were conservatively treated avoiding daily activities precipitating the condition with volar wrist splint only at night in 18% and in 90% with steroid hormone injection in the carpal tunnel. Median nerve release was performed in 18% of the hands. Amyloid deposit was demonstrated in 3 of 4 operated hands. Although the relation between long-term hemodialysis and the occurrence of the amyloid deposition in the carpal tunnel has not been established, the present data along with other recent reports strongly indicate that amyloid deposit in the carpal tunnel on hemodialysis patients could be one of the most possible cause of CTS.
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Carpal Tunnel Syndrome in Patients on Long-Term Hemodialysis. Tohoku J. exp. Med., 1986, 148 (3), 257-266 - Sixteen cases with carpal tunnel syndrome (CTS) were reported out of 412 patients on long-term hemodialysis due to chronic renal failure. Clinical symptoms included numbness in the area innervated by the median nerve in 100% of symptomatic hands and pain in the wrist and hand in 81%. This pain usually became severer at night and during hemodialysis. Muscle atrophy was noted in 41% of the hands. Nerve conduction studies revealed prolonged distal sensory latency, slowed sensory nerve conduction velocity across the wrist and normal distal motor latency in 18%, prolonged distal motor latency in 51% and no response in motor or sensory stimulation in 31%. Evidence of denervation on electromyography was seen in 36% of the hands. Patients were conservatively treated avoiding daily activities precipitating the condition with volar wrist splint only at night in 18% and in 90% with steroid hormone injection in the carpal tunnel. Median nerve release was performed in 18% of the hands. Amyloid deposit was demonstrated in 3 of 4 operated hands. Although the relation between long-term hemodialysis and the occurrence of the amyloid deposition in the carpal tunnel has not been established, the present data along with other recent reports strongly indicate that amyloid deposit in the carpal tunnel on hemodialysis patients could be one of the most possible cause of CTS.</description><identifier>ISSN: 0040-8727</identifier><identifier>EISSN: 1349-3329</identifier><identifier>DOI: 10.1620/tjem.148.257</identifier><identifier>PMID: 3705067</identifier><language>eng</language><publisher>Japan: Tohoku University Medical Press</publisher><subject>Action Potentials ; Adult ; Aged ; Amyloidosis - complications ; Amyloidosis - pathology ; Arteriovenous Shunt, Surgical - adverse effects ; carpal tunnel syndrome ; Carpal Tunnel Syndrome - diagnosis ; Carpal Tunnel Syndrome - etiology ; Carpal Tunnel Syndrome - therapy ; electrodiagnosis ; entrapment neuropathy ; Female ; hemodialysis ; Humans ; Kidney Failure, Chronic - therapy ; Male ; Middle Aged ; Neural Conduction ; Renal Dialysis - adverse effects ; Steroids - therapeutic use ; Time Factors</subject><ispartof>The Tohoku Journal of Experimental Medicine, 1986, Vol.148(3), pp.257-266</ispartof><rights>Tohoku University Medical Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-e56e8e2456d9b19096024411598a98cf5916dd1be20b1cc0bfbdc43473e567773</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3705067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KIMURA, ITARU</creatorcontrib><creatorcontrib>SEKINO, HIROSHI</creatorcontrib><creatorcontrib>AYYAR, D.R.</creatorcontrib><creatorcontrib>KIMURA, NORIKO</creatorcontrib><creatorcontrib>SASO, SHUN-ICHI</creatorcontrib><creatorcontrib>MAKINO, MUTSUO</creatorcontrib><title>Carpal Tunnel Syndrome in Patients on Long-Term Hemodialysis</title><title>The Tohoku Journal of Experimental Medicine</title><addtitle>Tohoku J. Exp. Med.</addtitle><description>KIMURA, I., SEKINO, H., AYYAR, D.R., KIMURA, N., SASO, S. and MAKINO, M. Carpal Tunnel Syndrome in Patients on Long-Term Hemodialysis. Tohoku J. exp. Med., 1986, 148 (3), 257-266 - Sixteen cases with carpal tunnel syndrome (CTS) were reported out of 412 patients on long-term hemodialysis due to chronic renal failure. Clinical symptoms included numbness in the area innervated by the median nerve in 100% of symptomatic hands and pain in the wrist and hand in 81%. This pain usually became severer at night and during hemodialysis. Muscle atrophy was noted in 41% of the hands. Nerve conduction studies revealed prolonged distal sensory latency, slowed sensory nerve conduction velocity across the wrist and normal distal motor latency in 18%, prolonged distal motor latency in 51% and no response in motor or sensory stimulation in 31%. Evidence of denervation on electromyography was seen in 36% of the hands. Patients were conservatively treated avoiding daily activities precipitating the condition with volar wrist splint only at night in 18% and in 90% with steroid hormone injection in the carpal tunnel. Median nerve release was performed in 18% of the hands. Amyloid deposit was demonstrated in 3 of 4 operated hands. 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Nerve conduction studies revealed prolonged distal sensory latency, slowed sensory nerve conduction velocity across the wrist and normal distal motor latency in 18%, prolonged distal motor latency in 51% and no response in motor or sensory stimulation in 31%. Evidence of denervation on electromyography was seen in 36% of the hands. Patients were conservatively treated avoiding daily activities precipitating the condition with volar wrist splint only at night in 18% and in 90% with steroid hormone injection in the carpal tunnel. Median nerve release was performed in 18% of the hands. Amyloid deposit was demonstrated in 3 of 4 operated hands. Although the relation between long-term hemodialysis and the occurrence of the amyloid deposition in the carpal tunnel has not been established, the present data along with other recent reports strongly indicate that amyloid deposit in the carpal tunnel on hemodialysis patients could be one of the most possible cause of CTS.</abstract><cop>Japan</cop><pub>Tohoku University Medical Press</pub><pmid>3705067</pmid><doi>10.1620/tjem.148.257</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source J-STAGE Free; MEDLINE; Freely Accessible Japanese Titles; EZB-FREE-00999 freely available EZB journals
subjects Action Potentials
Adult
Aged
Amyloidosis - complications
Amyloidosis - pathology
Arteriovenous Shunt, Surgical - adverse effects
carpal tunnel syndrome
Carpal Tunnel Syndrome - diagnosis
Carpal Tunnel Syndrome - etiology
Carpal Tunnel Syndrome - therapy
electrodiagnosis
entrapment neuropathy
Female
hemodialysis
Humans
Kidney Failure, Chronic - therapy
Male
Middle Aged
Neural Conduction
Renal Dialysis - adverse effects
Steroids - therapeutic use
Time Factors
title Carpal Tunnel Syndrome in Patients on Long-Term Hemodialysis
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