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Abstract INTRODUCTION Carpal tunnel syndrome is one of the most common entrapment neuropathies. It is caused by compression of the median nerve at the wrist in its passage under the flexor retinacular ligament. Carpal tunnel syndrome (CTS) was first noted in wrist trauma cases by Paget in 1854 and was named by Schultze in 1893 as reported by Stephens and Welch (1957). Diagnosis of CTS is one of the most common problem~ encountered by a c I inical electromyographer and it has been studied extensively electrophysiologically. The most common neurophysiological abnormalities found in CTS are the increase of the distal motor latency as reported by Simpson in 1956 and prolongation of the distal sensory latency by Gilliant and Sears in 1958. A 1 though both sensory and motor fibers may be affected , Melvin et al., (1973) reported that sensory nerve conduction studies are more sensitive than motor conduction studies in detecting early abnormalities in the affected patients. However, studies of sensory distal latencies in symptomatic hands Introduction 1 |