BILATERAL ACUTE CARPAL-TUNNEL SYNDROME AND HYPERTHYROIDISM - A CASE-REPORT

A 26-year-old man acutely developed bilateral sensory symptoms of carp al tunnel syndrome (CTS). Neurophysiological investigations confirmed the diagnosis of CTS with findings suggesting conduction block of sens ory fibers. Endocrinological studies revealed a hyperthyroidism. He wa s treated with methimazole and propranolol with improvement of thyroid function. The neurophysiological and clinical follow-up revealed a pr ogressive improvement of CTS. The echography performed at mist bilater ally failed to show any rough compressive factors in the carpel tunnel . The clinical, neurophysiological and endocrinological evolution sugg est a relationship between hyperthyroidism and acute bilateral CTS.