Distal median nerve dysfunction

Table of Contents

Definition

Distal median nerve dysfunction is a form of peripheral neuropathy that affects the movement of or sensation in the hands.

A common type of distal median nerve dysfunction is carpal tunnel syndrome.


Alternative Names

Neuropathy - distal median nerve


Causes, incidence, and risk factors

Dysfunction of one nerve group, such as the distal median nerve, is called a mononeuropathy. Mononeuropathy means there is a local cause of the nerve damage, although occasionally body-wide (systemic) disorders may cause isolated nerve damage.

Distal median nerve dysfunction occurs when the nerve is inflamed, trapped, or injured by trauma. The most common reason is trapping (entrapment), which puts pressure on the nerve where it passes through a narrow area. Wrist fractures may injure the median nerve directly or may increase the risk for trapping a nerve later on.

Inflammation of the tendons (tendonitis) or joints (arthritis) can also cause nerve compression.

Conditions that affect connective tissue or cause deposits to form in tissue can block blood flow and lead to nerve compression. Such conditions include:

  • Acromegaly
  • Hypothyroidism
  • Multiple myeloma
  • Pregnancy

In some cases, no cause can be identified.



Review Date: 08/27/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)