Carpal Tunnel Syndrome Due to Fibrolipomatous Hamartoma of the Median Nerve in Klippel-Trénaunay Syndrome

2009 ◽  
Vol 91 (5) ◽  
pp. 1223-1227 ◽  
Author(s):  
Mitsuhiro Matsubara ◽  
Hirotaka Tanikawa ◽  
Yuuji Mogami ◽  
Shunichi Shibata ◽  
Shigeharu Uchiyama ◽  
...  
Hand ◽  
2010 ◽  
Vol 6 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Jamal Louaste ◽  
Hassan Zejjari ◽  
Mohamed Chkoura ◽  
Aziz Houmadi ◽  
Khalid Rachid

2020 ◽  
Vol 6 (3) ◽  
pp. 161-164
Author(s):  
Joan Arenas-Prat ◽  

Background and Importance: Klippel-Trénaunay syndrome is a rare congenital condition that rarely affects peripheral nerves. Median nerve involvement at the carpal tunnel level has only been reported on four occasions of this syndrome in the medical literature. Case Presentation: A 61-year-old Caucasian female patient with Klippel-Trénaunay syndrome presented with a 10-month history of paraesthesia and numbness affecting the median nerve distribution area of her left hand. The clinical and neurophysiological examination confirmed a moderately severe carpal tunnel syndrome that required surgical decompression. Conclusion: Pre-operative findings demonstrated diffuse vascular infiltration and engorgement of the median nerve. Flexor tendons had a normal appearance. The patient had a satisfactory post-operative period with full resolution of her symptoms 4 weeks after the procedure. Although peripheral nerves are rarely affected in patients with Klippel-Trénaunay syndrome, neurological symptoms could indicate nerve involvement and magnetic resonance imaging (MRI) examination should be considered to further assess the extension of the lesion.


2021 ◽  
pp. 20200090
Author(s):  
Fouad Aladel ◽  
Ahmed Aldhafiri ◽  
Thabet Alghazal ◽  
Fahad Alsafran ◽  
Zainab Alrashed ◽  
...  

Fibrolipomatous hamartoma (FLH) of the nerve (also known as perineural lipoma, neural fibrolipoma, or lipomatosis of the nerve) is a well-known, rare benign lesion that can affect any peripheral nerve, resulting in significant enlargement of the involved nerve with fibrofatty infiltration. Although it is most commonly involving the median nerve, other peripheral nerves can be also involved. Being familiar with the pathognomonic characteristics on different imaging modalities and the association of this entity with macrodactyly help reach the diagnosis, avoid putting the patient at risk of an invasive procedure, and can guide management. We present to you a rare case of a FLH of the median nerve that was diagnosed on MRI of an adult female who presented with carpal tunnel syndrome (CTS) and progressive swelling of the right hand and wrist.


Cureus ◽  
2021 ◽  
Author(s):  
Christopher R Michel ◽  
Christopher Dijanic ◽  
Mark Woernle ◽  
Justin Fernicola ◽  
Jamie Grossman

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