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Intraneural hemangioma of the median nerve: A case report.

Doğramaci Y, Kalaci A, Sevinç TT, Yanat AN - J Brachial Plex Peripher Nerve Inj (2008)

Bottom Line: We present a case of 14-year-old girl who had a soft tissue mass in the region of the left wrist with signs and symptoms of carpal tunnel syndrome.The symptoms were relieved completely, after this procedure, without any neurologic deficit.On follow-up two years later, no recurrence was observed.

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Affiliation: Dept, of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Hatay, Turkey. yunus_latif85@hotmail.com

ABSTRACT
Hemangiomas of the median nerve are very rare and, so far, only ten cases of intraneural hemangioma of this nerve have been reported in the literature. We present a case of 14-year-old girl who had a soft tissue mass in the region of the left wrist with signs and symptoms of carpal tunnel syndrome. Total removal of the mass was achieved using microsurgical epineural and interfasicular dissection. The symptoms were relieved completely, after this procedure, without any neurologic deficit. On follow-up two years later, no recurrence was observed. Whenever a child or young adult patient presents with CTS the possibility of a hemangioma involving the median nerve should be kept in mind in the differential diagnosis.

No MeSH data available.


Related in: MedlinePlus

Magnetic resonance image of intraneural hemangioma. (A) Sagittal T1 (B) T2 (C) axial T1 and (D) T2 (E) fat suppression images demonstrating an 3 × 2 × 1.5 cm lesion in the volar aspect of the right wrist.
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Figure 1: Magnetic resonance image of intraneural hemangioma. (A) Sagittal T1 (B) T2 (C) axial T1 and (D) T2 (E) fat suppression images demonstrating an 3 × 2 × 1.5 cm lesion in the volar aspect of the right wrist.

Mentions: Radiographic examination revealed no bony lesion. Ultrasonographic examination done to exclude any vascular lesion of the radial artery, revealed non pulsatile, cystic mass consistent with ganglion. An MR image obtained in another institution revealed a 3 × 2 × 1.5 cm ovoid rapidly enhancing mass in the volar surface of the right wrist region (Fig. 1).


Intraneural hemangioma of the median nerve: A case report.

Doğramaci Y, Kalaci A, Sevinç TT, Yanat AN - J Brachial Plex Peripher Nerve Inj (2008)

Magnetic resonance image of intraneural hemangioma. (A) Sagittal T1 (B) T2 (C) axial T1 and (D) T2 (E) fat suppression images demonstrating an 3 × 2 × 1.5 cm lesion in the volar aspect of the right wrist.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2277418&req=5

Figure 1: Magnetic resonance image of intraneural hemangioma. (A) Sagittal T1 (B) T2 (C) axial T1 and (D) T2 (E) fat suppression images demonstrating an 3 × 2 × 1.5 cm lesion in the volar aspect of the right wrist.
Mentions: Radiographic examination revealed no bony lesion. Ultrasonographic examination done to exclude any vascular lesion of the radial artery, revealed non pulsatile, cystic mass consistent with ganglion. An MR image obtained in another institution revealed a 3 × 2 × 1.5 cm ovoid rapidly enhancing mass in the volar surface of the right wrist region (Fig. 1).

Bottom Line: We present a case of 14-year-old girl who had a soft tissue mass in the region of the left wrist with signs and symptoms of carpal tunnel syndrome.The symptoms were relieved completely, after this procedure, without any neurologic deficit.On follow-up two years later, no recurrence was observed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Dept, of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Hatay, Turkey. yunus_latif85@hotmail.com

ABSTRACT
Hemangiomas of the median nerve are very rare and, so far, only ten cases of intraneural hemangioma of this nerve have been reported in the literature. We present a case of 14-year-old girl who had a soft tissue mass in the region of the left wrist with signs and symptoms of carpal tunnel syndrome. Total removal of the mass was achieved using microsurgical epineural and interfasicular dissection. The symptoms were relieved completely, after this procedure, without any neurologic deficit. On follow-up two years later, no recurrence was observed. Whenever a child or young adult patient presents with CTS the possibility of a hemangioma involving the median nerve should be kept in mind in the differential diagnosis.

No MeSH data available.


Related in: MedlinePlus