Open surgery for carpal tunnel syndrome release at the University Hospital Center ‘La Renaissance’ in Chad

Abstract

The carpal tunnel syndrome (CTS) is the most common compressive neuropathy of the upper limb. Management in a neurosurgical environment is infrequent. The objective of our study is to report our experience on the surgical management of this condition at the neurosurgical department at Renaissance University Hospital Center. We report 4 cases of CTS revealed by paresthesia. The patients ranged in age from 51 to 61 years, all hypertensive and including two women. The clinical presentations and the electro-neurograms had confirmed the diagnosis. Symptoms were bilateral in two cases. All patients were right handed and typists. Treatment consisted of an open release of the carpal annular ligament after unsuccessful medical treatment. The course was favorable marked by complete disappearance of clinical symptoms.