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神经鞘瘤继发跗管综合征——病例报告

Tarsal tunnel syndrome secondary to neurilemoma--a case report.

作者信息

Tsai C C, Lin T M, Lai C S, Lin S D

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Kaohsiung J Med Sci. 2001 Apr;17(4):216-20.

Abstract

Peripheral nerve entrapment syndromes in the foot include those symptom complexes that are primarily neurologic in origin and result from embarrassment to any of the peripheral nerve trunks or branches of the foot. Tarsal tunnel syndrome usually is precipitated by compression of the tibial nerve posterior and distal to the medial malleolus. A neurilemoma is relatively uncommon in the foot. It is usually a solitary tumor that is almost exclusively benign and can be removed without jeopardizing the integrity of the nerve. Diagnosis is based on a thorough history and clinical pictures. Certain diagnostic modalities, ultrasound and MRI, have been employed to aid in diagnosis. Surgical excision of the tumor remains the treatment of choice.

摘要

足部周围神经卡压综合征包括那些主要源于神经方面的症状复合体,由足部任何周围神经干或分支受压所致。跗管综合征通常是由内踝后方和远端的胫神经受压引起的。神经鞘瘤在足部相对少见。它通常是一种孤立性肿瘤,几乎完全为良性,可在不危及神经完整性的情况下切除。诊断基于详尽的病史和临床表现。某些诊断方法,如超声和磁共振成像,已被用于辅助诊断。手术切除肿瘤仍然是首选的治疗方法。

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