Remission of a recurrent carpal tunnel syndrome by a new device of the hemodialysis method in a long-term hemodialysis patient

This report concerns a case in which remission was achieved from the recurr ent carpal tunnel syndrome employing new methods of hemodialysis. These bei ng the maintenance of low endotoxin in dialysate, a highly permeable membra ne and a beta(2)-microglobulin-adsorbent column. A 78-year-old female patie nt with a 19-year history of hemodialysis was diagnosed as being a suitable recipient of a third operation. The concentration of endotoxin was maintai ned at under 10 EU/1 and the highly permeable dialyzer with a larger sievin g coefficient of beta(2)-microglobulin was introduced. A Lixelle adsorption column for beta(2)-microglobulin removal was also introduced and the serum concentration of the beta(2)-microglobulin was maintained at under 20 mg/d l. Consequently, within 6 months the symptoms in the right hand had complet ely disappeared, the motor nerve latency had almost normalized at 5.0 msec and no recurrence was observed.