Doğramaci Yunus, Kalaci Aydiner, Sevinç Teoman Toni, Yanat Ahmet Nedim
Dept, of Orthopaedics and Traumatology, Mustafa Kemal University Faculty of Medicine, Hatay, Turkey.
J Brachial Plex Peripher Nerve Inj. 2008 Feb 22;3:5. doi: 10.1186/1749-7221-3-5.
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.
正中神经血管瘤非常罕见，迄今为止，文献中仅报道过10例该神经的神经内血管瘤。我们报告一例14岁女孩，其左腕部有一软组织肿块，并伴有腕管综合征的体征和症状。通过显微外科的神经外膜和束间分离术实现了肿块的完全切除。术后症状完全缓解，无任何神经功能缺损。两年后的随访中未观察到复发。当儿童或年轻成年患者出现腕管综合征时，在鉴别诊断中应考虑正中神经血管瘤的可能性。
