Abstract
We describe a case of carpal tunnel syndrome (CTS) in a hypertensive man on long term treatment with a beta-blocker, propanolol. The clinical and instrumental findings, including MRI at the wrist, excluded all other possible causes of CTS. The improvement in symptoms and electromyographic findings on discontinuation of the drug suggested that the CTS may have been related to the beta-blocker therapy.
Sommario
Gli Autori prendono in considerazione la comparsa di una sindrome del tunnel carpale (STC) in un paziente iperteso trattato cronicamente con beta bloccanti non selettivi (propanololo). Venivano escluse tutte le cause secondarie di STC mediante accurato esame clinico e strumentale (inclusa la NMR al polso). Dopo la sospensione del farmaco, la sintomatologia accusata dal paziente ed i parametri elettrofisiologici subirono un significativo miglioramento, portando alla conclusione che la STC era realmente secondaria alla terapia beta-bloccante.
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Lipponi, G., Lucantoni, C., Antonicelli, R. et al. Clinical and electromyographic evidence of carpal tunnel syndrome in a hypertensive patient with chronic beta-blocker treatment. Ital J Neuro Sci 13, 157–159 (1992). https://doi.org/10.1007/BF02226965
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DOI: https://doi.org/10.1007/BF02226965