Carpal Tunnel Syndrome Caused by a Ganglion  Cyst of the Wrist: Report of a Case and Review of Literature

Amira Gallas; Mohamed Ali Sbai; Walid Saidane; Rami Ben Arab; Walid Bouaîcha; Monia Boussen; Nesrine Attia; Khaled Bchir; Riadh Maalla

Carpal Tunnel Syndrome Caused by a Ganglion Cyst of the Wrist: Report of a Case and Review of Literature

Amira Gallas

Mohamed Ali Sbai

Walid Saidane

Rami Ben Arab

Walid Bouaîcha

Monia Boussen

Nesrine Attia

Khaled Bchir

Riadh Maalla

Asian Journal of Research in Surgery, Page 1-5

Published: 1 November 2019

Abstract

Carpal tunnel syndrome is usually idiopathic and presents bilaterally. An etiologic factor should be suspected in patients with unilateral symptoms, Ganglion cysts are the most common tumours of the wrist and are often listed among the possible causes of carpal tunnel syndrome but cases of carpal tunnel syndrome caused by ganglion cysts are underreported in literature. The clinical presentation consists of swelling and pain of the wrist with paresthesia in the median nerve distribution. Tinel’s sign and Phalen’s manoeuvre are positive. Electromyogram (EMG) should be accompanied by ultrasonography or magnetic resonance imaging (MRI) investigation before surgery. Although the current trend is to perform endoscopic carpal tunnel release, this technique can’t allow a good exploration of the carpal tunnel, and open carpal tunnel release surgery with removal of the ganglion cyst remains the gold standard of treatment with an excellent prognosis.

We present the case of a 45-year-old woman with carpal tunnel syndrome caused by a ganglion cyst to highlight its characteristics, the interest of imaging studies (ultrasonography or MRI) in patients with unilateral symptoms, and the importance of early recognition with adequate treatment.

Keywords:

Carpal tunnel syndrome
ganglion cyst
wrist
hand surgery.

How to Cite

Gallas, A., Ali Sbai, M., Saidane, W., Ben Arab, R., Bouaîcha, W., Boussen, M., Attia, N., Bchir, K., & Maalla, R. (2019). Carpal Tunnel Syndrome Caused by a Ganglion Cyst of the Wrist: Report of a Case and Review of Literature. Asian Journal of Research in Surgery, 2(2), 1-5. Retrieved from https://journalajrs.com/index.php/AJRS/article/view/30097

References

Chen CH, Wu T, Sun JS, Lin WH, Chen CY. Unusual causes of carpal tunnel syndrome: Space-occupying lesions. J Hand Surg Eur. 2012;37(1):14-9.

Kerrigan JJ, Bertoni JM, Jaeger SH. Ganglion cysts and carpal tunnel syndrome. J Hand Surg Am. 1988;13(5): 763-5.

Harvey FJ, Bosanquet JS. Carpal tunnel syndrome caused by a simple ganglion. Hand. 1981;13(2):164-6.

Yalcinkaya M, Akman YE, Bagatur AE. Unilateral carpal tunnel syndrome caused by an occult ganglion in the carpal tunnel: A report of two cases. Case Rep Orthop. 2014;589021.

Kang HJ, Jung SH, Yoon HK, Hahn SB, Kim SJ. Carpal tunnel syndrome caused by space occupying lesions. Yonsei Med J. 2009;50(2):257-61.

Sbai MA, Benzarti S, Msek H, Boussen M, Khorbi A. Carpal tunnel syndrome caused by lipoma: A case report. Pan Afr Med J. 2015;18:22:51.

Phil Minotti, John S. Taras. Ganglion cysts of the wrist. J Am Soc Surg Hand. 2002; 2(2):102-107.

Brooks DM. Nerve compression by simple ganglia. A review of thirteen collected cases. The Journal of Bone and Joint Surgery. 1952;34B:391-400.

Shimizu A, Ikeda M, Kobayashi Y, Saito I, Oka Y. Carpal tunnel syndrome caused by a ganglion in the carpal tunnel with an atypical type of palsy: A case report. Hand Surg. 2011;16(3):339-41.

Kobayashi N, Koshino T, Nakazawa A, Saito T. Neuropathy of motor branch of median or ulnar nerve induced by midpalm ganglion. J Hand Surg Am. 2001;26(3): 474-7.

Propeck T, Quinn TJ, Jacobson JA, Paulino AF, Habra G, Darian VB. Sonography and MR imaging of bifid median nerve with anatomic and histologic correlation. AJR Am J Roentgenol. 2000; 175(6):1721-5.

Onen MR, Kayalar AE, Ilbas EN, Gokcan R, Gulec I, Naderi S. The role of wrist magnetic resonance imaging in the differential diagnosis of the carpal tunnel syndrome. Turk Neurosurg. 2015;25(5): 701-6.

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