scholarly journals Lipofibromatous hamartoma of a digital branch of the median nerve: a case report and review of the literature

2021 ◽  
Author(s):  
Jorge Barraza-Silva ◽  
Roberto Berebichez-Fridman ◽  
Lilia Corona-Cobian ◽  
Laura Bernal-López ◽  
Raúl Álvarez-San Martín
Keyword(s):  
Adipose Tissue ◽  
Case Report ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Peripheral Nerves ◽  
Review Of The Literature ◽  
Nerve Enlargement ◽  
Lipofibromatous Hamartoma ◽  
Uncommon Tumor

Lipofibromatous hamartoma is an uncommon tumor that causes nerve enlargement due to fatty adipose tissue infiltration in peripheral nerves being the median nerve at the carpal tunnel the most commonly affected site, typically associated with macrodactyly. Here we present a case which affected a digital branch of the median nerve

A new pattern of lipomatosis of nerve: case report

2017 ◽  
Vol 126 (3) ◽  
pp. 933-937 ◽  
Author(s):  
Nikhil K. Prasad ◽  
Mark A. Mahan ◽  
Benjamin M. Howe ◽  
Kimberly K. Amrami ◽  
Robert J. Spinner
Keyword(s):  
Adipose Tissue ◽  
Case Report ◽  
Soft Tissue ◽  
Median Nerve ◽  
Peripheral Nerves ◽  
Full Spectrum ◽  
Spinal Nerves ◽  
Lipomatosis Of Nerve ◽  
Thoracic Spinal ◽  
Future Management

Lipomatosis of nerve (LN) is a rare disorder of peripheral nerves that produces proliferation of interfascicular adipose tissue. It may be associated with soft-tissue and bony overgrowth within the affected nerve territory. LN has been almost exclusively reported in appendicular peripheral nerves; the median nerve at the wrist and palm is among the most common locations. The authors present a new pattern of LN that shows circumferential proliferation of fat around the epineurium of the nerve. They believe that this case and the two other documented examples in the literature (also affecting cervical and thoracic spinal nerves) share the same new pattern of LN. Defining the full spectrum of adipose lesions of the nerve and establishing a cause-effect relationship with nerve-territory overgrowth disorders may offer options for future management through targeted nerve lesioning.

scholarly journals Lipofibromatous hamartoma of the median nerve: A case report and review of the literature

2009 ◽  
Vol 42 (01) ◽  
pp. 122-125 ◽  
Author(s):  
V. S. Patil ◽  
Sunila Nagle
Keyword(s):  
Median Nerve ◽  
Carpal Tunnel ◽  
Index Finger ◽  
Dominant Hand ◽  
Review Of The Literature ◽  
Digital Nerve ◽  
Volar Aspect ◽  
Lipofibromatous Hamartoma ◽  
Subcutaneous Tissues ◽  
Tunnel Syndrome

ABSTRACTA case of lipofibromatous hamartoma of the median nerve in an adult is described in this article. A 33-year-old male presented with tingling, numbness and swelling in the palm of the left non dominant hand that had been present for a few months. Examination revealed that there was fullness in the volar aspect of the wrist and in the inter-thenar area. Another mass was present at the base of the index finger, which appeared to be involving subcutaneous tissues. The clinical diagnosis was carpal tunnel syndrome due to a space occupying tumor mass in the carpal tunnel. On exploration of the carpal tunnel, a large median nerve was seen 4 cm proximal to the wrist crease line and extending distally until it divided into its branches. Another mass was present at the base of the index finger, which was adherent to the skin. The radial digital nerve of the index finger was normal in size. For the enlarged nerve, an epineurotomy was performed and a biopsy was taken. Another biopsy was taken from the distal mass. His postoperative period was uneventful. In July 2004, at the end of 5 years, the patient had no symptoms and the size of the tumor had not increased.

Carpal Tunnel Syndrome Caused by a Simple Ganglion

HAND ◽  
1981 ◽  
Vol os-13 (2) ◽  
pp. 164-166 ◽  
Author(s):  
F. J. Harvey ◽  
J. S. Bosanquet
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Peripheral Nerves ◽  
Nerve Compression ◽  
Median Nerve Compression ◽  
Deep Branch ◽  
Tunnel Syndrome

The compression of peripheral nerves by simple ganglia is a well recognized and documented clinical entity. It has been reported where ganglia have been associated with the ankle, knee and elbow joints (D. M. Brooks, 1952). It is probably best known in compression of the deep branch of the ulnar nerve in the wrist, first described by Seddon (Seddon H. J. 1952). Median nerve compression at the wrist, however, that causes a carpal tunnel syndrome would appear to be well recognized but poorly documented. Brooks (1952) described a case and until now, no others have been recorded in the literature. This case report describes such median nerve involvement with some interesting features.

scholarly journals Lipofibromatous hamartoma of a digital branch of the median nerve: A case report and review of literature

2021 ◽  
Vol 9 (9) ◽  
Author(s):  
Jorge Barraza‐Silva ◽  
Roberto Berebichez‐Fridman ◽  
Lilia Edith Corona‐Cobian ◽  
Laura Montserrat Bernal‐López ◽  
Raúl Álvarez‐San Martín
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Review Of Literature ◽  
Lipofibromatous Hamartoma

scholarly journals Olfactory Nerve Schwannoma: A Case Report and Review of the Literature

2018 ◽  
Vol 04 (03) ◽  
pp. e164-e166 ◽  
Author(s):  
Mahmoud Taha ◽  
Amr AlBakry ◽  
Magdy ElSheikh ◽  
Tarek AbdelBary
Keyword(s):  
Case Report ◽  
Peripheral Nerves ◽  
Traffic Accident ◽  
Road Traffic ◽  
Olfactory Nerve ◽  
Anterior Cranial Fossa ◽  
Benign Tumors ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Cranial Fossa

AbstractSchwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident. Tumor was completely excised, using a right frontal approach. Histopathology revealed Antoni-A cellular pattern. Although rare, but olfactory nerve schwannomas should be included in the differential diagnosis in anterior cranial fossa space occupying lesions, and the approach should be designed taking into consideration, this rare entity.

scholarly journals Carpal Tunnel Syndrome Associated with Klippel-Trénaunay Syndrome: A Case Report

2020 ◽  
Vol 6 (3) ◽  
pp. 161-164
Author(s):  
Joan Arenas-Prat ◽  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Carpal Tunnel ◽  
Peripheral Nerves ◽  
Distribution Area ◽  
Left Hand ◽  
Nerve Involvement ◽  
Tunnel Syndrome ◽  
Operative Findings ◽  
Klippel Trenaunay Syndrome

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.

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