LAUSR

increased severity and intermittent fasciculation in the right thenar muscles. There of diabetes, hypothyroidism or other systemic diseases. Examination revealed a positive carpal tunnel compression test and mild wasting of abductor pollicis brevis (APB) consistent with carpal tunnel syndrome (CTS). The Boston Carpal Tunnel Questionnaire Symptom Severity Score (BCTQ- SSS) was 3.73, and Functional Severity Score (FSS) was 3. Electrodiagnostic testing showed severe right CTS and fibrilla-tions in APB. Ultrasonography of the carpal tunnel and median nerve showed a bifid median nerve (BMN) at the wrist along with pulsating persistent median artery (PMA) in the centre on both sides. The combined median nerve cross-sectional area (CSA) at the wrist and PMA diameter were 11.5 mm 2 and