Median mononeuropathy is a rare condition in children, little is known about the presentation and diagnosis of the disease, and even less is known about its treatment and prognosis. In some cases where children were diagnosed with median mononeuropath...
Median mononeuropathy is a rare condition in children, little is known about the presentation and diagnosis of the disease, and even less is known about its treatment and prognosis. In some cases where children were diagnosed with median mononeuropathy, non-traumatic etiologies include systemic illnesses such as mucopolysaccharidosis, scleroderma, and congenital bone anomalies. Here we report a case where unilateral median nerve neuropathy occurred without trauma or any structural abnormality in a healthy 33-month-old girl. Median nerve neuropathy was not detected through nerve conduction study, but rather, through magnetic resonance imaging (MRI) of her right wrist; which showed signs of swelling of the distal median nerve from the distal radius level with no evidence of extrinsic nerve compression. The patient was treated using steroid pulse therapy, and was discharged with improved symptoms. The patient was followed up on at an outpatient clinic a week later, and reported feeling well and free of symptoms. MRI is a useful tool to check for underlying structural abnormalities and diagnosing median neuropathy.