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Topiramate-induced Neuropathy Mimicking Carpal Tunnel Syndrome: A Case Report
Jigar S Gandhi1, Michael Rivlin1
1Rutgers New Jersey Medical School, Newark, NJ Rothman Institute, Division of Hand Surgery, Philadelphia, PA, USA.
Abstract:
Carpel tunnel syndrome (CTS) is a condition in which median nerve compression results in paresthesias and pain in the wrist and hand. We are going to report a rare case of topiramate-induced neuropathy which clinically resembles CTS. Discontinuation of topiramate resulted in spontaneous resolution of numbness, paresthesia and pain in a few days. High clinical suspicion is advised in patients who are on topiramate and present with signs of compressive neuropathy. Level of evidence: V.
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