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正中神经纤维脂肪瘤性错构瘤继发腕管综合征

Carpal Tunnel Syndrome Secondary to Fibrolipomatous Hamartoma of the Median Nerve.

作者信息

Michel Christopher R, Dijanic Christopher, Woernle Mark, Fernicola Justin, Grossman Jamie

机构信息

Orthopedic Surgery, Monmouth Medical Center, Long Branch, USA.

出版信息

Cureus. 2021 Jun 1;13(6):e15363. doi: 10.7759/cureus.15363. eCollection 2021 Jun.

DOI:10.7759/cureus.15363
PMID:34239795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8246404/
Abstract

Fibrolipomatous hamartoma (FLH) is a rare, benign neoplasm that affects the median nerve predominantly and can present with compressive symptoms. MRI can be used to diagnose this condition without the need for a nerve biopsy. While no definitive treatment has been described, open carpal tunnel release for nerve decompression is currently the standard of care to alleviate compressive neuropathies of the median nerve. In this report, we describe a case of FLH diagnosed via MRI in which the patient's symptoms responded to open carpal tunnel release.

摘要

纤维脂肪瘤性错构瘤（FLH）是一种罕见的良性肿瘤，主要累及正中神经，可出现压迫症状。磁共振成像（MRI）可用于诊断此病，无需进行神经活检。虽然尚无明确的治疗方法，但目前开放腕管松解术进行神经减压是缓解正中神经压迫性神经病变的标准治疗方法。在本报告中，我们描述了一例通过MRI诊断的FLH病例，该患者的症状对开放腕管松解术有反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/6aaf1d7500be/cureus-0013-00000015363-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/df3f69812686/cureus-0013-00000015363-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/22abd5b5fb3d/cureus-0013-00000015363-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/037f3578ac96/cureus-0013-00000015363-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/c2550bae2728/cureus-0013-00000015363-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/075f5e2860c5/cureus-0013-00000015363-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/6a4d37e0fa10/cureus-0013-00000015363-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/57ea28dbfa55/cureus-0013-00000015363-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/6aaf1d7500be/cureus-0013-00000015363-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/df3f69812686/cureus-0013-00000015363-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/22abd5b5fb3d/cureus-0013-00000015363-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/037f3578ac96/cureus-0013-00000015363-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/c2550bae2728/cureus-0013-00000015363-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/075f5e2860c5/cureus-0013-00000015363-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/6a4d37e0fa10/cureus-0013-00000015363-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/57ea28dbfa55/cureus-0013-00000015363-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/949e/8246404/6aaf1d7500be/cureus-0013-00000015363-i08.jpg

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本文引用的文献

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Fibrolipomatous hamartoma of the median nerve: A cause of acute bilateral carpal tunnel syndrome in a three-year-old child: A case report and comprehensive literature review.正中神经纤维脂肪瘤性错构瘤：一名3岁儿童急性双侧腕管综合征的病因：病例报告及文献综述
Plast Surg (Oakv). 2014 Fall;22(3):201-6.
2
Fibrolipomatous hamartoma of the median nerve: comparison of magnetic resonance imaging and ultrasound.正中神经纤维脂肪瘤性错构瘤：磁共振成像与超声检查的比较
PM R. 2013 Sep;5(9):805-6. doi: 10.1016/j.pmrj.2013.03.026.
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Carpal tunnel syndrome caused by a fibrolipomatous hamartoma of the median nerve treated by endoscopic release of the carpal tunnel.
经内镜腕管松解术治疗由正中神经纤维脂肪瘤性错构瘤引起的腕管综合征。
J Plast Surg Hand Surg. 2012 Apr;46(2):124-7. doi: 10.3109/2000656X.2011.573923.
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Carpal tunnel syndrome due to fibrolipomatous hamartoma of the median nerve.正中神经纤维脂肪性错构瘤所致腕管综合征
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Lipofibromatous hamartoma of the median nerve.正中神经脂肪纤维瘤性错构瘤
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