Carpal Tunnel Syndrome and Migraine Lateralization

Year 2024, Volume: 34 Issue: 4, 536 - 541, 31.08.2024

Güner Koyuncu

https://doi.org/10.54005/geneltip.1468141

Abstract

Background/Aims: Within the scope of this research, we aimed to elucidate the relationship between carpal tunnel syndrome and migraine to explore both the pain intensity and the localization of carpal tunnel syndrome (CTS) in concomitant migraine. The primary outcome variable was elaborated as the pain lateralization, and the secondary outcome variable was the pain intensity.
Methods: This was a cross-sectional, observational prospective study of 500 patients with a preliminary carpal tunnel syndrome diagnosis in our institution. After patients with missing data were excluded from the study, 413 remained, 365 (88.4%) women and 48 (11.6%) men. After recording the demographic characteristics, the patient's migraine pain year of onset of pain, pain characteristics, localization, frequency, duration, severity, triggering factors, symptoms, and findings accompanying the pain were recorded.
Results: The lateralization of migraine was on the right side (only on the right or mostly on the right) in 25.9% and on the left side (only on the left or mostly on the left) in 26.4% of the patients. Almost half of the patients (47.7%) experienced bilateral migraine headaches. Carpal tunnel syndrome was in the right hand in 13.3%, in the left hand in 11.6%, and bilateral in 75.1%. Of 197 patients with bilateral pain, 68 (34.5%) had mild, 116 (58.9%) had moderate, and 13 (6.6%) had severe CTS. The VAS level of migraine pain was higher only in patients with CTS in the left hand and in those with moderate CTS.
Conclusion: It has been determined that those with carpal tunnel syndrome on the right side have migraines mostly on the right, those with carpal tunnel syndrome on the left have migraines on the left, and those with carpal tunnel syndrome in both directions have migraines predominantly in both directions.

Keywords

Migraine, Carpal tunnel syndrome, Lateralization, Visual Analog Scale (VAS), Pain

Karpal Tünel Sendromu ve Migren Lateralizasyonu

Abstract

Amaç: Bu araştırma kapsamında, eşlik eden migrende karpal tünel sendromunun (KTS) hem ağrı yoğunluğunu hem de lokalizasyonunu araştırmak için karpal tünel sendromu ile migren arasındaki ilişkiyi aydınlatmayı amaçladık. Birincil sonuç değişkeni, ağrının lateralizasyonu olarak detaylandırıldı ve ikincil sonuç değişkeni, ağrının yoğunluğuydu.
Yöntemler: Bu araştırma, kurumumuzda karpal tünel sendromu ön tanısı alan 500 hastanın katıldığı kesitsel, gözlemsel, prospektif bir çalışma olarak planlanmıştır. Verileri eksik olan hastalar çalışma dışı bırakıldıktan sonra 365’i (%88,4) kadın, 48’i (%11,6) erkek olmak üzere 413 kişi kaldı. Hastanın demografik özellikleri kaydedildikten sonra migren ağrısının başlangıç yılı, ağrının özellikleri, lokalizasyonu, sıklığı, süresi, şiddeti, tetikleyici faktörler, ağrıya eşlik eden semptomlar ve bulgular kaydedildi.
Bulgular: Migrenin lateralizasyonu hastaların %25,9’unda sağ tarafta (sadece sağda veya çoğunlukla sağda), %26,4’ünde ise sol tarafta (sadece solda veya çoğunlukla solda) idi. Hastaların neredeyse yarısında (%47,7) iki taraflı migren baş ağrısı görüldü. Karpal tünel sendromunun %13,3’ü sağ elde, %11,6’sı sol elde, %75,1’i ise iki taraflıydı. Bilateral ağrısı olan 197 hastanın 68’inde (%34,5) hafif, 116’sında (%58,9) orta ve 13’ünde (%6,6) şiddetli KTS vardı. Migren ağrısının VAS düzeyi sadece sol elde KTS’si olanlarda ve orta derecede KTS’si olanlarda daha yüksekti.
Sonuç: Sağ tarafta karpal tünel sendromu olanların migren hastalarının çoğunlukla sağda, solda karpal tünel sendromu olan hastaların migren ağrılarının solda, her iki yönde de karpal tünel sendromu olanların her iki yönde migren ağırlıklı olduğu belirlendi.

Keywords

Migren, Karpal tünel Sendromu, Lateralizasyon, Vizüel Analog Skala (VAS), Ağrı

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