Nilsson Jessica, Sandberg Kristina, Dahlin Lars B, Vendel Nina, Balslev Eva, Larsen Lone, Nielsen Niels Søe
Hand Surgery, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.
Department of Anesthesiology, Intensive Care and Operations, Gentofte Hospital, Copenhagen, Denmark.
J Brachial Plex Peripher Nerve Inj. 2010 Jan 12;5:1. doi: 10.1186/1749-7221-5-1.
Fibrolipomatous hamartoma of the median nerve are usually located distally in the forearm and may have characteristic features on MR imaging. Here we report a patient with an extensive fibrolipomatous hamartoma at an unusual location proximally in the arm, where a preoperative MR imaging was pathognomonic and diagnosis was verified by an incisional biopsy. We suggest that MRI should be performed in cases with nerve dysfunction without an obvious cause after a thorough clinical examination.
正中神经纤维脂肪瘤性错构瘤通常位于前臂远端,在磁共振成像(MR成像)上可能具有特征性表现。在此,我们报告1例患者,其广泛性纤维脂肪瘤性错构瘤位于上臂近端这一不寻常位置,术前MR成像具有确诊价值,且通过切开活检证实了诊断。我们建议,对于经全面临床检查后无明显病因的神经功能障碍病例,应进行MRI检查。