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神经内海绵状血管瘤:一例罕见的左侧尺神经束外肿瘤病例。

Intraneural cavernous hemangioma: a rare case of extrafascicular left ulnar nerve tumor.

作者信息

Ravanbod Hadi, Motififard Mehdi, Aliakbari Mohsen, Zolfaghari Mohammad, Hatami Saeed

机构信息

Assistant Professor of Orthopaedics, Department of Orthopedic Surgery, School of Medicine, Al-Zahra Hospital, Isfahan University of Medical Sciences Isfahan, Iran.

Associated Professor of Orthopaedic Surgery, Department of Orthopedic Surgery, Kashani University Hospital, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

出版信息

Am J Blood Res. 2021 Feb 15;11(1):72-76. eCollection 2021.

Abstract

Hemangiomas are benign soft tissue tumors that may be found everywhere in the human body. As one of the hemangioma types, cavernous hemangioma consists of a flat endothelium along with blood-filled spaces and may be found in the central nervous system, but rarely occurs in peripheral nerves. This article pertains to the introduction of an old female patient complaining of pain and paresthesia of the ulnar side of the left forearm and hypothenar with numbness and tingling of the fourth and fifth digits and clawing. The patient was medically treated for a month but became a surgical candidate due to the poor response to medical treatment. A 1-cm lesion was observed in the surgery with compression on the ulnar nerve in the ulnar groove. Neurologic symptoms of the patient were improved after excision of the lesion, but clawing persisted.

摘要

血管瘤是一种良性软组织肿瘤,可在人体各处发现。作为血管瘤的一种类型,海绵状血管瘤由扁平内皮细胞和充满血液的腔隙组成,可发生于中枢神经系统,但很少发生于周围神经。本文介绍了一位老年女性患者,她主诉左前臂尺侧和小鱼际疼痛、感觉异常,伴有第四和第五指麻木、刺痛及爪形手。该患者接受了一个月的药物治疗,但因药物治疗效果不佳而成为手术候选者。手术中观察到一个1厘米的病变,尺神经在尺神经沟处受压。切除病变后患者的神经症状有所改善,但爪形手仍然存在。

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本文引用的文献

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Intraneural haemangioma of peripheral nerves.周围神经内血管外皮细胞瘤。
Br J Neurosurg. 2020 Oct;34(5):480-486. doi: 10.1080/02688697.2018.1449803. Epub 2018 Mar 14.
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[Intraneural hemangioma of the ulnar nerve].[尺神经内血管瘤]
Nervenarzt. 2015 Feb;86(2):197-201. doi: 10.1007/s00115-014-4169-5.
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The intraneural hemangioma of the digital nerve: case report.指神经内血管瘤:病例报告
J Hand Microsurg. 2013 Jun;5(1):27-9. doi: 10.1007/s12593-011-0059-2. Epub 2012 Apr 19.
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[Intramuscular hemangioma of the forearm: seven cases].[前臂肌内血管瘤:7例]
Ann Chir Plast Esthet. 2013 Jun;58(3):243-7. doi: 10.1016/j.anplas.2010.08.004. Epub 2010 Sep 28.
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Intraneural hemangioma of the median nerve: A case report.正中神经内血管瘤:一例报告
J Brachial Plex Peripher Nerve Inj. 2008 Feb 22;3:5. doi: 10.1186/1749-7221-3-5.

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