Combined Median and Ulnar Nerve Compression Neuropathy due to Lipoma at the Wrist

摘要

The involvement of peripheral nerves in the upper limb by compression resulting in neuropathy is very common either as idiopathic or due to space-occupying lesion. The involved nerve itself may be compressed at two different levels (double crush syndrome). Although the most important cause for the compressive neuropathy is idiopathic, rarely they may be due to secondary causes.To this date there has been no report in the English literature of a single pathology resulting in compressive neuropathy involving median and ulnar nerves. We are reporting a case of lipoma arising in the region of septum separating the carpal tunnel and Guyon canal, resulting in symptomatic neuropathy of both the nerves.