Fibrolipoma of the Median Nerve: An Overview

Slouma, M.; Zarrouk, Zeineb; Maatoug, Feten; Dhahri, R.; Amorri, Wajdi; Gharsallah, I.; Métoui, L.; Louzir, B.

doi:10.2174/1573397118666220404080616

Cited by 3 publications

(2 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the most recent article, Slouma et al found 46 case-reports on lipofibromas affecting the median nerve, but it is not clearly stated in this article, if the included cases were true intraneural lipofibromas, or tumours growing in the vicinity of the nerve [12].…”

Section: Discussionmentioning

confidence: 84%

Intraneural lipoma of the median nerve: a case report

Zyluk

2023

Handchir Mikrochir Plast Chir

View full text Add to dashboard Cite

IntroductionIntraneural lipomas and lipofibromas (also called lipofibromatous hamartomas) are rare, benign tumours occurring in peripheral nerves in the forearm and wrist. They usually present as asymptomatic masses, but if they are large enough, they may cause symptoms of compression neuropathy. Intraneural lipomas and lipofibromas differ with regard to anatomy and clinical behaviour: the former tumour has a well-defined capsule and most commonly occurs within the median nerve in the forearm and wrist. It is diagnosed in the fourth and fifth decades of life and seen more frequently in women. The latter (lipofibroma) has no capsule, is infiltrative in nature, is composed of fatty and fibrous tissue and also most commonly seen in the median nerve. It occurs in a younger age group with no sexual predominance. Due to these differences, these lesions are managed differently 1 2.

show abstract

Section: Discussionmentioning

confidence: 84%

Intraneural lipoma of the median nerve: a case report

Zyluk

2023

Handchir Mikrochir Plast Chir

View full text Add to dashboard Cite

show abstract

“…MRI appearances for LFH of the median nerve include "coaxial cable-like" on an axial plane and "spaghetti-like" on coronal or sagittal slices. 6,7 The flexor retinaculum and tendons are displaced and a large bulging mass in the carpal tunnel is shown on computed tomography (CT). The density of the bulk reveals fibroblastic elements.…”

Section: Discussionmentioning

confidence: 99%

Rare benign median nerve angiogenetic lipofibromatous hamartoma: A case report

Doddabasappa,

Ugrappa,

Sanchi

et al. 2023

Scripta Medica

View full text Add to dashboard Cite

Only a few cases of lipofibromatous hamartoma (LFH) of the median nerve have been described in the literature. LFH is a rare and low growing benign fibro-fatty tumour. It is characterised by the proliferation of mature adipocytes within the epineurium and the perineurium of the peripheral nerves. The median nerve is most frequently affected in the upper extremities. Carpal tunnel syndrome, paraesthesia, numbness and pain are frequently the results of involvement of the median nerve. In presented case, in addition to fibrolipoma, there was also new blood vessel formation noted, which was attributed to the chronicity of the lesion. Diagnosis was missed by ultrasound and MRI due to the presence of blood vessels. Histopathological diagnosis was confirmed. Surgical treatment with carpal tunnel release and neurolysis were performed. This resulted in favourable outcome in 3 months.

show abstract

Acroparesthesias: An Overview

Slouma,

Ben Dhia,

Cheour

et al. 2024

CRR

View full text Add to dashboard Cite

Acroparesthesia is a symptom characterized by a subjective sensation, such as numbness, tingling, prickling, and reduced sensation, affecting the extremities (fingers and toes). Despite its frequency, data regarding its diagnostic approach and management are scarce. The etiological diagnosis of acroparesthesia is sometimes challenging since it can be due to abnormality anywhere along the sensory pathway from the peripheral nervous system to the cerebral cortex. Acroparesthesia can reveal several diseases. It can be associated with rheumatic complaints such as arthritis or myalgia. Further cautions are required when paresthesia is acute (within days) in onset, rapidly progressive, severe, asymmetric, proximal, multifocal, or associated with predominant motor signs (limb weakness) or severe dysautonomia. Acroparesthesia may reveal Guillain-Barré syndrome or vasculitis, requiring rapid management. Acroparesthesia is a predominant symptom of polyneuropathy, typically distal and symmetric, often due to diabetes. However, it can occur in other diseases such as vitamin B12 deficiency, monoclonal gammopathy of undetermined signiﬁcance, or Fabry’s disease. Mononeuropathy, mainly carpal tunnel syndrome, remains the most common cause of acroparesthesia. Ultrasonography contributes to the diagnosis of nerve entrapment neuropathy by showing nerve enlargement, hypoechogenic nerve, and intraneural vascularity. Besides, it can reveal its cause, such as space-occupying lesions, anatomical nerve variations, or anomalous muscle. Ultrasonography is also helpful for entrapment neuropathy treatment, such as ultrasound-guided steroid injection or carpal tunnel release. The management of acroparesthesia depends on its causes. This article aimed to review and summarize current knowledge on acroparesthesia and its causes. We also propose an algorithm for the management of acroparesthesia.

show abstract

Fibrolipoma of the Median Nerve: An Overview

Cited by 3 publications

References 39 publications

Intraneural lipoma of the median nerve: a case report

Intraneural lipoma of the median nerve: a case report

Rare benign median nerve angiogenetic lipofibromatous hamartoma: A case report

Acroparesthesias: An Overview

Contact Info

Product

Resources

About