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[胫神经远端周围神经卡压综合征的鉴别诊断。原始神经外胚层肿瘤病例报告]

[Differential diagnosis of distal peripheral nerve compression syndrome of the tibial nerve. Case report of primitive neuroectodermal tumor].

作者信息

Heinze M, Perez-Canto A, Baum K

机构信息

Abteilung für Neurologie, Universitätsklinikum Benjamin Franklin, Freie Universität Berlin.

出版信息

Nervenarzt. 1998 Apr;69(4):357-60. doi: 10.1007/s001150050283.

Abstract

Tumors of the tibial nerve are not sufficiently taken into account in the diagnosis of tarsal tunnel syndromes (TTS). They may present with atrophy of the plantar flectors and with disturbances of sensory functions, but far more commonly with pain. Diagnosis is often only achieved after 1-2 years. Taking tumors into account when examining patients presenting with TTS may lead to a more rapid diagnosis and to improvement in patients' prognoses. We present the case of a 37-year-old female in whom a primitive neuroectodermal tumor (PNET) was found to be the cause of long-standing pain in the right foot.

摘要

在跗管综合征(TTS)的诊断中,胫神经肿瘤未得到充分重视。它们可能表现为跖屈肌萎缩和感觉功能障碍,但更常见的是疼痛。诊断通常在1 - 2年后才能做出。在检查TTS患者时考虑到肿瘤因素,可能会实现更快速的诊断并改善患者的预后。我们报告一例37岁女性病例,其右脚长期疼痛的病因是原始神经外胚层肿瘤(PNET)。

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