Barreira Mariana, Marques Nuno, Campos Vicente, Marques Guilherme, Gonçalves Sérgio, Stefanova Alves Sandra
Centro Hospitalar Universitário de Lisboa Central, EPE, Lisboa, Portugal.
Centro Hospitalar Universitário de Lisboa Central, EPE, Lisboa, Portugal.
Int J Surg Case Rep. 2020;77:538-542. doi: 10.1016/j.ijscr.2020.11.083. Epub 2020 Nov 19.
Lipomas are a rare cause of compressive neuropathy and they lead to atypical clinical presentation that can mimic carpal tunnel syndrome.
The authors describe a rare presentation of a carpal tunnel syndrome recurrence after a hand giant lipoma, presenting with rapidly compression neuropathy of the median nerve, 6 months after de primary surgery.
Lipomas are common benign soft tumours. Their occurrence in the hand remains rare and they rarely cause secondary entrapment neuropathies. Carpal tunnel syndrome is mostly idiopathic and bilateral. Local factors should be suspected when these neuropathies present with atypical symptomatology or even when they recur after primary conventional surgical release. Investigation should consider images studies as this correct preoperative assessment leads to successful diagnosis and treatment.
脂肪瘤是压迫性神经病变的罕见病因，可导致非典型临床表现，易与腕管综合征相混淆。
作者描述了1例罕见的手部巨大脂肪瘤切除术后腕管综合征复发的病例，初次手术后6个月出现正中神经快速受压性神经病变。
脂肪瘤是常见的良性软组织肿瘤。手部脂肪瘤仍较为罕见，很少引起继发性卡压性神经病变。腕管综合征大多为特发性且双侧发病。当这些神经病变表现为非典型症状，甚至在初次常规手术松解后复发时，应怀疑存在局部因素。检查应考虑影像学检查，因为准确的术前评估有助于成功诊断和治疗。
