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Lipofibrohamartoma of the Median Nerve: A Case Report Case Report

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dc.creator Zeynep Ünlüsoy Acar
dc.creator Pınar Dikmen Yalınay
dc.creator Burhan Özalp
dc.creator A. Emre Öge
dc.date 2011
dc.date.accessioned 2013-05-30T14:09:43Z
dc.date.available 2013-05-30T14:09:43Z
dc.date.issued 2013-05-30
dc.identifier http://www.turknoropsikiyatri.org/default.aspx?pfn=dergiOkur&iid=51&modulePage=article&dt=tft&aid=323
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=13000667&date=2011&volume=48&issue=2&spage=155
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/6052
dc.description Herein, we present the case of a patient who had complaint suggestive of carpal tunnel syndrome due to fibrolipoma of the median nerve and macrodactyly. 32-year-old male patient has macrodactyly of the right index finger and coarse skin lines and hyperkeratosis on the volar aspect of the index finger. The patient reported numbness and tingling sensation in his right hand that have woken him at night for 10 years. Electromyography, magnetic resonance imaging (MRI) of the right hand and diagnostic biopsy were performed to the patient. Sensory action potential of the right median nerve was absent. The median motor study on the right showed low amplitude of the compound muscle action potential with a markedly prolonged distal latency. MRI scan demonstrated a lesion that extended from the palm to the forearm and gave cable-like appearance to the median nerve which is pathognomonic for lipofibroma. Biopsy result was consistent with fibrolipoma. Neural fibrolipoma is a rare benign tumor of the median nerve. MRI is the best method for observing the involvement of the nerve. In one-third of the cases, macrodactyly is associated with neural fibrolipoma. In the differential diagnosis of patients with carpal tunnel syndrome symptoms, fibrolipoma of the median nerve should also be kept in mind. (Archives of Neuropsychiatry 2011; 48: 155-7)
dc.publisher Galenos Yayicilik
dc.source Nöropsikiyatri Arşivi
dc.subject Carpal tunnel syndrome
dc.subject lipofibrohamartoma
dc.subject median nerve
dc.title Lipofibrohamartoma of the Median Nerve: A Case Report Case Report


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