Thrombosis of the Persistent Median Artery: A Rare Cause of Carpal Tunnel Syndrome

Thrombosis of the Persistent Median Artery: A Rare Cause of Carpal Tunnel Syndrome

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Persistent median artery (PMA) is a rare vascular anomaly that, when thrombosed, can compress the median nerve, leading to carpal tunnel syndrome.This case report presents a 29-year-old female with acute right wrist pain, eagles head coach hoodie numbness, and tingling in the thumb and index finger.Ultrasound and magnetic resonance imaging (MRI) revealed a thrombosed PMA causing a mass effect on a bifid median nerve.

Conservative treatment with anti-edema measures and anticoagulants led to significant symptom resolution within 2 weeks.Untreated thrombosis of the PMA can result in complications such as chronic nerve compression, muscle atrophy, digital ischemia, and permanent loss of hand function.Early diagnosis using Doppler ultrasound and MRI is essential to prevent such outcomes.

Although conservative management is often effective, surgical intervention may be needed in persistent or severe cases.This report highlights iphone 14 price arizona the importance of recognizing PMA as a rare but significant cause of carpal tunnel syndrome to ensure timely diagnosis and intervention.