Meena Ds, Sharma Mrinal, Sharma Cs, Patni Purnima
Dept. of Orthopedics, SMS Hospital, Jaipur, India.
Indian J Orthop. 2007 Jan;41(1):79-81. doi: 10.4103/0019-5413.30532.
Hemangioma of the median nerve presenting as acute carpal tunnel syndrome is unusual A-18- year old male presented with severe incapacitating pain of sudden onset of left forearm and hand after manual field work. There was swelling on volar aspect of forearm, with hyperalgesia in the median nerve distribution. The fingers and wrist were inmarked flexion and the patient did not allow wrist and finger extension. X-rays were within normal limits. An emergency volar carpal ligament release revealed, haematoma about 100 ml with numerous vessels encircling the median nerve. Histopathology of lesion turned out to be a cavernous hemangioma. Post operatively patient had full recovery.
以急性腕管综合征为表现的正中神经血管瘤并不常见。一名18岁男性在进行体力田间劳动后，突然出现左前臂和手部严重的、使人丧失能力的疼痛。前臂掌侧有肿胀，正中神经分布区域有痛觉过敏。手指和手腕明显屈曲，患者不允许手腕和手指伸展。X线检查结果正常。紧急进行掌侧腕横韧带松解术，发现约100毫升血肿，有许多血管环绕正中神经。病变的组织病理学检查结果为海绵状血管瘤。术后患者完全康复。
