Acute Carpal Tunnel Syndrome Due To Pseudogout

Abstract

We report a case of severe fulminating carpal tunnel syndrome secondary to pseudogout.

Median Nerve and Ulnar Nerve Palsy Caused by Calcium Pyrophosphate Dihydrate Crystal Deposition Disease: Case Report

“…Several cases of carpal tunnel syndrome due to CPPD deposition have been reported. [3][4][5] Researchers found synovitis of the flexor tendon sheaths, in which the tissues were calcified. Taniguchi et al 12 reported CPPD crystal deposition in the elbows of 9 patients with cubital tunnel syndrome.…”

Tumorous Calcification Causing Carpal Tunnel Syndrome

“…Carpal tunnel syndrome (CTS) with diffuse calcification in the carpal canal has occasionally been reported. In those cases, calcium pyrophosphate dihydrate (CPPD) was the main composition of the calcification [1,13,14], and those cases are better recognized as chondrocalcinosis or pseudogout in the wrist joint. Generally, the diagnosis of CPPD calcification causing CTS is relatively easy to make because a radiograph shows some calcified spots on the floor of the carpal tunnel and polarized light microscopy of the calcified specimen shows rod-like crystals with a weakly positive birefringence [7].…”

Chondrocalcinosis of the Wrist

“…Involvement of the knee and hip are emphasized, and wrist involvement has only recently been described (Bensasson et al, 1975; Resnick and Utsinger, 1974; Utsinger et al, 1975). Crystal deposition at the wrist can cause pseudotumours which bulge into the carpal canal (Raimbeau et al, 2001; Rate et al, 1992). The classic feature which is most specific for CPDD is calcification of the triangular fibrocartilage.…”