Computed tomographic evaluation of the hemodialysis patients with carpal tunnel syndrome
Dr. Özlem BAYSAL*, Dr. Tamer BAYSAL**, Dr. Ramazan KUTLU**, Dr. Kaya SARAÇ**, Dr. Sinem KALI***, Dr. A. Cemal ÖZCAN***
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Abstract
Present study was conducted to evaluate the validity of computed tomography (CT) and the correlation between CT findings and dialysis related amyloidosis in patients having electrophysiologically proven carpal tunnel syndrome (CTS). The wrists of 9 hemodialysis (HD) patients and 8 volunteers were evaluated with CT and carpal tunnel area (CTA) measurements were made at three levels. Significant correlation was found between the median nerve sensory conduction velocity and narrowing in the CTA. It was observed that the lower the carpal tunnel area, the lower the sensory conduction velocity. We found no significant correlation between the CTA measurements and median nerve diameter, the duration of dialysis. Therefore, this reveals that hemodialysis patients may have CTS in any period of their dialysis treatment. It is concluded that, CT, demonstrating the morphological findings in carpal tunnel, is important in the diagnosis of preclinic CTS in hemodialysis patients and should be used in follow-up of these patients
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