{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:18:15Z","timestamp":1782602295534,"version":"3.54.5"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,9,12]]},"abstract":"<jats:p>Carpal tunnel syndrome (CTS) is a common form of peripheral nerve entrapment, which is observed due to compression of the median nerve at the level of the carpal tunnel in the wrist. Bifid median nerve and persistent median artery association are rare, and they may be independent risk factors for CTS. These rare entities are usually asymptomatic, but in cases of acute thrombosis or dilatation of the persistent median artery, acute findings can be seen. We report a case of acute CTS due to thrombosis of a persistent median artery and associated bifurcated median nerve during pregnancy.<\/jats:p>","DOI":"10.1136\/bcr-2017-221446","type":"journal-article","created":{"date-parts":[[2017,9,19]],"date-time":"2017-09-19T04:40:15Z","timestamp":1505796015000},"page":"bcr-2017-221446","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Acute carpal tunnel syndrome caused by thrombosed persistent median artery associated with bifurcated median nerve in a pregnant woman"],"prefix":"10.1136","volume":"2017","author":[{"given":"Ayse Serap","family":"Akgun","sequence":"first","affiliation":[{"name":"Department of Radiology, Medipol University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gulhan","family":"Ertan","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medipol University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9313-3165","authenticated-orcid":false,"given":"Sila","family":"Ulus","sequence":"additional","affiliation":[{"name":"Department of Radiology, Ac\u0131badem Mehmet Ali Ayd\u0131nlar University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,9,19]]},"reference":[{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.1","unstructured":"Preston DC , Shapiro BE . Median neuropathy at the wrist. In: Electromyography and neuromuscular disorders. Philadelphia, 2005:255\u201379."},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(77)80009-9"},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.3","first-page":"315","article-title":"Persistent median artery in carpal tunnel syndrome","volume":"61","author":"Lisanti","year":"1995","journal-title":"Acta Orthopedica Belgica"},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.4","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1016\/S0363-5023(84)80055-6","article-title":"Digital ischemia secondary to thrombosis of persistent median artery. Digital ischemia secondary to thrombosis of persistent median artery","volume":"9","author":"Aulicino","year":"1984","journal-title":"J Hand Surg"},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.5","doi-asserted-by":"crossref","first-page":"e451","DOI":"10.3928\/01477447-20130327-21","article-title":"Bifid median nerve causing carpal tunnel syndrome: MRI and surgical correlation","volume":"36","author":"Bagatur","year":"2013","journal-title":"Orthopedics"},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.6","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.1177\/229255030901700302","article-title":"Anatomical variations of the carpal tunnel structures","volume":"17","author":"Mitchell","year":"2009","journal-title":"Can J Plast Surg"},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.7","first-page":"315","article-title":"Persistent median artery in carpal tunnel syndrome","volume":"61","author":"Lisanti","year":"1995","journal-title":"Acta Orthopedica Belgica"},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.8","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0736-4679(01)00436-X","article-title":"Carpal tunnel syndrome from thrombosed persistent median artery","volume":"22","author":"Khashaba","year":"2002","journal-title":"J Emerg Med"},{"key":"2025082702575640000_2017.sep17_1.bcr-2017-221446.9","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000172428.78411.b0"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:58:05Z","timestamp":1756288685000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,19]]},"references-count":9,"alternative-id":["10.1136\/bcr-2017-221446"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221446","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,19]]}}}