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尺神经结核瘤的治疗:整形外科医生面临的挑战

Management of Ulnar Nerve Tuberculoma: A Challenge to Plastic Surgeons.

作者信息

Maurya Rajesh, Mir Mohd Altaf, Singh Prasenjit

机构信息

Plastic Surgery, All India Institute of Medical Sciences, Bathinda, IND.

Plastic Surgery, All India Institute of Medical Sciences, Bhatinda, IND.

出版信息

Cureus. 2022 Apr 6;14(4):e23872. doi: 10.7759/cureus.23872. eCollection 2022 Apr.

DOI:10.7759/cureus.23872
PMID:35530887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9074751/
Abstract

Tuberculoma is a well-circumscribed, space-occupying lesion. However, the involvement of peripheral nerves is rare. Here, we report a rare case of left ulnar nerve tuberculoma managed by surgical exploration and tangential excision of tuberculoma lesion sparing, most of the nerve fibers followed by antitubercular treatment. The patient responded well to the management strategy with improvement in motor and sensory activity of the affected limb.

摘要

结核瘤是一种边界清晰的占位性病变。然而,周围神经受累情况罕见。在此,我们报告一例罕见的左尺神经结核瘤病例,通过手术探查及对结核瘤病变进行切线切除,保留大部分神经纤维,随后进行抗结核治疗。患者对该治疗策略反应良好,患侧肢体的运动和感觉功能有所改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/9074751/430a4cabd2f7/cureus-0014-00000023872-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/9074751/ccf55dc35b19/cureus-0014-00000023872-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/9074751/430a4cabd2f7/cureus-0014-00000023872-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/9074751/ccf55dc35b19/cureus-0014-00000023872-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fb/9074751/430a4cabd2f7/cureus-0014-00000023872-i02.jpg

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Management of Ulnar Nerve Tuberculoma: A Challenge to Plastic Surgeons.尺神经结核瘤的治疗:整形外科医生面临的挑战
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本文引用的文献

1
Ulnar nerve tuberculoma: A case report and literature review.尺神经结核瘤:一例报告及文献综述
J Clin Neurosci. 2016 Oct;32:130-3. doi: 10.1016/j.jocn.2015.12.047. Epub 2016 Jul 29.
2
Ulnar nerve tuberculoma.尺神经结核瘤
J Neurosurg Pediatr. 2013 Jan;11(1):100-2. doi: 10.3171/2012.9.PEDS12172. Epub 2012 Oct 19.
3
Tuberculoma of the left optic nerve and chiasm.
Arch Ophthalmol. 1971 Jan;85(1):75-8. doi: 10.1001/archopht.1971.00990050077011.
4
Tuberculoma of the ulnar nerve: case report.尺神经结核瘤:病例报告
Neurosurgery. 1988 May;22(5):906-7.
5
Tuberculoma of the ulnar nerve.尺神经结核瘤
J Bone Joint Surg Am. 1975 Jan;57(1):131.