Motta A, Roncaglia L
Ital J Orthop Traumatol. 1979 Aug;5(2):213-7.
A case of neurofibroma of the median nerve at the wrist is reported. An operation to resect 15 cm of the nerve was performed; no transplant was substituted. No motor or sensory paralysis was noted, either directly after the operation or at follow up after nine years. Injection of procaine into the ulnar nerve at the epitrochlear groove demonstrated complete compensation, by means of anastomoses between the two nerves at the upper third of the forearm. It is assumed that the type of lesion (circumscribed neurofibromatosis) beginning in infancy or childhood, had some influence in giving rise to this substitution.
报告了一例腕部正中神经神经纤维瘤病例。实施了切除15厘米该神经的手术；未进行神经移植替代。术后即刻及九年随访时均未发现运动或感觉麻痹。在内上髁沟向尺神经注射普鲁卡因显示，通过前臂上三分之一处两根神经之间的吻合实现了完全代偿。据推测，始于婴儿期或儿童期的病变类型（局限性神经纤维瘤病）对这种代偿的产生有一定影响。
