Diagnosis of carpal tunnel syndrome: Electrodiagnostic and MR imaging evaluation

Jeffrey G. Jarvik*, Eric Yuen, Michel Kliot

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

53 Scopus citations

Abstract

In patients who have clinically diagnosed CTS without symptoms or signs to suggest other disorders that can mimic CTS, it remains controversial as to whether performing NCSs is necessary or cost-effective [41]. Even less evidence exists regarding the cost-effectiveness of imaging for CTS. MR imaging reliably depicts normal carpal tunnel anatomy, including the median and ulnar nerves and their intraneural fascicular structure. It can also identify pathologic nerve compression and mass lesions, such as ganglion cysts, which compress nerves. Currently, MR imaging is probably most commonly used to image patients who have ambiguous electrodiagnostic studies and clinical examinations. MR diffusion-weighted imaging of peripheral nerves [42] might prove to be the most sensitive imaging sequence for the detection of early nerve dysfunction. Electrodiagnostic studies are likely to remain the pivotal diagnostic examination in patients with suspected CTS for the foreseeable future. With advances in imaging software and hardware, however, high-resolution MR imaging of peripheral nerves will become faster, cheaper, and likely more accurate, possibly paving the way for an expanded role in the diagnosis of this common syndrome.

Original languageEnglish (US)
Pages (from-to)93-102
Number of pages10
JournalNeuroimaging Clinics of North America
Volume14
Issue number1
DOIs
StatePublished - Feb 2004

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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