ACMJ
Anatolian Current Medical Journal

Anatolian Current Medical Journal (ACMJ) is an unbiased, peer-reviewed, and open access international medical journal. The Journal publishes interesting clinical and experimental research conducted in all fields of medicine, interesting case reports, and clinical images, invited reviews, editorials, letters, comments, and related knowledge.

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Original Article
Is essential tremor a risk factor for carpal tunnel syndrome? A prospective study excluding the most common comorbid conditions
Abstract
Aims: Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity, resulting from compression of the median nerve. Tremor, a rhythmic and involuntary movement of any part of the body, is the most common movement disorder, affecting millions of people worldwide. There is limited research on the coexistence of CTS and ET (essential tremor).
Methods: This prospective study included patients aged 18-65 who presented to the neurology outpatient clinic and were diagnosed with ET. Participants supplied informed consent, a sociodemographic form, and the Fahn-Tolosa-Marin Clinical Tremor Rating Scale (FTM TRS). Patients were evaluated for the presence and severity of CTS with electromyography (EMG). The EMG data were categorized as normal, mild, moderate, and severe CTS.
Results: In the study, the average age of the 50 ET patients was 56.0 (35.0-64.0) years. The gender distribution comprised 22 (44.0%) males and 28 (56.0%) females. The following tremor locations were reported: 41 (82.0%) in both upper extremities, 3 (6.0%) in the right upper extremity, 2 (4.0%) in the left upper extremity, 1 (2.0%) in both upper extremities, head tremor, and voice, and 3 (6.0%) in both upper extremities and head tremor. A high prevalence of CTS was detected in ET patients (46%). Additionally, a positive correlation was found between CTS in ET patients, long disease duration, and female gender. No significant relationship was found between FTM TRS Part A, Part B, Part C, total scores, and median sensory and motor nerve amplitude and velocity values in ETS patients.
Conclusion: CTS is more common in patients with ET. This suggests that ET may be a risk factor for CTS, independent of other factors. Early diagnosis and treatment of CTS in patients with ET is important to improve their quality of life.

Keywords : Essential tremor, carpal tunnel syndrome, Fahn-Tolosa-Marin clinical tremor rating scale.

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Article available in :
Volume 6, Issue 5, 2024
Page : 325-330
https://doi.org/10.38053/acmj.1537182
Article Information
Received : 22 Ağu 2024
Accepted : 11 Eyl 2024
Published : 30 Eyl 2024
Corresponding Author :

İdris Kocatürk: Department of Neurology, Faculty of Medicine, Kastamonu University, Kastamonu, Turkiye

[email protected]
Citation : Kocatürk İ, Uğur F. Is essential tremor a risk factor for carpal tunnel syndrome? A prospective study excluding the most common comorbid conditions. Anatolian Curr Med J. 2024;6(4):325-330.

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