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坐骨神经脂肪过多症:1例报告并文献复习

Lipomatosis of the sciatic nerve: report of a case and review of the literature.

作者信息

Fandridis Emmanouil M, Kiriako Alexandros S, Spyridonos Sarantis G, Delibasis Georgios E, Bourlos Dimitrios N, Gerostathopoulos Nikolaos E

机构信息

Upper Limb-Hand Surgery and Microsurgery Department, General Hospital CAT, Athens, Greece.

出版信息

Microsurgery. 2009;29(1):66-71. doi: 10.1002/micr.20571.

Abstract

We report a case of lipomatosis of the sciatic nerve, also known as lipofibromatous hamartoma. A male, 26-year-old, presented with gait impairment, leg pain, and foot drop compatible with sciatic nerve's compression. The preoperative magnetic resonance imaging (MRI) revealed diffuse thickening of the proximal third of the sciatic nerve with adipose tissue interspersed among the nerve fascicles. Internal neurolysis was performed with microsurgical techniques under high magnification. The patient was followed up for a period of 34 months. He significantly recovered, and there was no clinical recurrence of the tumor.

摘要

我们报告一例坐骨神经脂肪瘤病,也称为脂肪纤维瘤性错构瘤。一名26岁男性,表现为步态障碍、腿痛和足下垂,符合坐骨神经受压症状。术前磁共振成像(MRI)显示坐骨神经近端三分之一弥漫性增厚,脂肪组织散布于神经束之间。在高倍显微镜下采用显微外科技术进行了内部神经松解术。对患者进行了34个月的随访。他恢复良好,肿瘤无临床复发。

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