Carpal Tunnel Syndrome Caused by Intraneural Lipoma of the Median Nerve and Arteriovenous Malformation

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Abstract

Carpal tunnel syndrome can be the result of a wide variety of etiologic factors. Compressive causes are rare and tumors causing compression are even rarer. We present a case with a carpal tunnel syndrome caused by an intraneural lipoma and an arteriovenous malformation concomitantly. The lesions were excised, and the patient recovered with full hand function and entire disappearance of acroparesthesia. To our knowledge, this is the first case report of carpal tunnel syndrome caused by an intraneural lipoma and an arteriovenous malformation concomitantly.

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Unilateral carpal tunnel syndrome and space-occupying lesions.

S. Tachibana, K Nakamichi (1993)

To assess the association between unilateral carpal tunnel syndrome and space-occupying lesions, 128 patients have been reviewed. They were divided into bilateral, subclinical (unilateral signs and symptoms, and bilateral slowing in the median nerve conduction) and unilateral carpal tunnel syndrome. Space-occupying lesions were investigated on the basis of physical examination and wrist imaging using plain radiographs and ultrasonograms. Of 20 patients with unilateral carpal tunnel syndrome, space-occupying lesions were found in seven (occult ganglion in five and occult calcified mass in two). In contrast, none of 89 patients with bilateral carpal tunnel syndrome and 19 with subclinical carpal tunnel syndrome had space-occupying lesions. We conclude that careful examination and wrist imaging on suspicion of local pathology, especially a space-occupying lesion, are needed when the condition is unilateral and the aetiology is not clear from the history and on physical examination.

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Intraneural lipomatous tumor of the median nerve: Three case reports with a review of literature.

Taketo Okubo, Tsuyoshi Saito, Hiroyuki Mitomi … (2012)

Intraneural lipoma and fibrolipomatous hamartoma of the nerve are rare soft tissue tumors that most commonly occur in the forearm and the wrist, and particularly within the median nerve. When the lesions are large enough, they may cause progressive compression neuropathy. They are distinct entities each other with different clinical and radiological findings and thereby need different surgical treatments.

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Peripheral nerve lipoma: Case report of an intraneural lipoma of the median nerve and literature review

Alisson Roberto Teles, Guilherme Finger, Marcelo N. Schuster … (2016)

Adipose lesions rarely affect the peripheral nerves. This can occur in two different ways: Direct compression by an extraneural lipoma, or by a lipoma originated from the adipose cells located inside the nerve. Since its first description, many terms have been used in the literature to mention intraneural lipomatous lesions. In this article, the authors report a case of a 62-year-old female who presented with an intraneural median nerve lipoma and review the literature concerning the classification of adipose lesions of the nerve, radiological diagnosis and treatment.

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Journal

Journal ID (nlm-ta): J Cutan Aesthet Surg

Journal ID (iso-abbrev): J Cutan Aesthet Surg

Journal ID (publisher-id): JCAS

Title: Journal of Cutaneous and Aesthetic Surgery

Publisher: Medknow Publications & Media Pvt Ltd (India )

ISSN (Print): 0974-2077

ISSN (Electronic): 0974-5157

Publication date (Print): Jan-Mar 2018

Volume: 11

Issue: 1

Pages: 29-32

Affiliations

[1]Department of Plastic, Reconstructive and Aesthetic Surgery, Beyhekim State Hospital Konya, Turkey

Author notes

Address for correspondence: Dr. Arif Aydin, Department of Plastic, Reconstructive and Aesthetic Surgery, Beyhekim State Hospital, Konya, Turkey. E-mail: arifaydin4@ 123456gmail.com

Article

Publisher ID: JCAS-11-29

DOI: 10.4103/JCAS.JCAS_73_17

PMC ID: 5921447

SO-VID: abf1b65a-0596-4bb8-9a30-16ff4cb94c74

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Carpal Tunnel Syndrome Caused by Intraneural Lipoma of the Median Nerve and Arteriovenous Malformation

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Abstract

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Most cited references 8

Unilateral carpal tunnel syndrome and space-occupying lesions.

Intraneural lipomatous tumor of the median nerve: Three case reports with a review of literature.

Peripheral nerve lipoma: Case report of an intraneural lipoma of the median nerve and literature review

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