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Karpaltunnelsyndrom

Sist oppdatert: Sist revidert:
Sist revidert av:

Definisjon:
Skyldes kompresjon av nervus medianus i canalis carpi. Repeterende håndbevegelser i yrket og hevelser i håndleddet disponerer
Forekomst:
Hyppigst forekommende perifere nevropati med prevalens 3-4% i den voksne befolkning. Vanligst blant kvinner, prevalensen øker med alderen
Symptomer:
Typiske symptom er smerter, nummenhet og prikking i håndflaten og i de radiale fingre
Funn:
Diagnosen kan stilles klinisk. Tinels og Phalens tegn kan styrke mistanken
Diagnostikk:
Klinikk sammen med nevrografisk diagnostikk gir mest pålitelig informasjon om tilstanden
Behandling:
Tilstanden kan spontanhelbrede, og konservativ behandling er som regel førstevalg. Ved alvorlige sympom og/eller store plager kan operativ behandling være et godt alternativ
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL

Tidligere fagmedarbeidere

  • Tor Ansved, docent och specialist, Neurology clinic, Sophiahemmet, Stockholm (Medibas)
  • Trond Sand, professor, overlege seksjon for klinisk nevrofysiologi, Nevrologisk avdeling, Norges teknisk-naturvitenskapelige universitet og Regionsykehuset i Trondheim
  • Espen Dietrichs, professor og avdelingsoverlege, Universitetet i Oslo og Nevrologisk avdeling, Rikshospitalet, Oslo