•  
  •  
 

Rehabilitation Practice and Science

Translated Title

超音波診斷復發之多發性正中神經鞘膜瘤：病例報告

Abstract

A 31-year-old lady complained of multiple painless masses on her left arm. Two masses were clearly visible in the left palm and distal forearm, and a smaller lump was also palpable in the left antecubital area. A neurogenic tumor in the left palm was diagnosed by magnetic resonance image (MRI). Sonography demonstrated highly vascular neurilemmomas along the median nerve in the palm, distal forearm, and antecubital area. A nerve conduction velocity study of the median nerve showed prolonged distal latency of the motor nerve portion but normal sensory function. The tumors were resected, and pathology examination confirmed the diagnosis of neurilemmoma at all three sites. The median nerve distal latency was normal one month after surgery. Solitary neurilemmomas are not uncommon, but multiple lesions are quite unusual. We were unable to find any other published reports of multiple neurilemmomas limited to the median nerve. Our experience in this case suggests that ultrasound may be even more useful than MRI in detecting and diagnosing neurilemmomas, particularly when there are multiple lesions in an unusual location.

Language

Traditional Chinese

First Page

53

Last Page

58

Download

Share

COinS