Nerve compression due to benign tumors or ganglion cysts in the upper limb – case series

oleh: Andreea Grosu-Bularda, Razvan Nicolae Teodoreanu, Andra-Luana Lazarescu, Marius Popescu, Florin-Vlad Hodea, Flavia Francesca Lita, Alexandru Stoian, Cristian Vancea, Liviu Petre Cojocaru, Ioan Lascar

Format: Article
Diterbitkan: Amaltea Medical Publishing House 2021-12-01

Deskripsi

Tumor nerve compressions in the upper limb are relatively rare, usually involving ganglion cysts and benign tumors. We present a case series of five patients with peripheral nerve compression in the upper limb due to tumor or cystic masses- ulnar nerve compression in the Guyon’s tunnel due to a ganglion cyst, large median nerve schwannoma compressing anterior interosseous nerve and median nerve, voluminous lipoma compressing median nerve in the proximal forearm, superficial branch of radial nerve compression by a synovial cyst and elbow region lipoma compressing radial nerve. In the beginning, those benign lesions are asymptomatic but, as they continue to grow adjacent to a peripheral nerve clinical manifestations appear progressively as compressive neuropathies. After a preoperative imagistic analysis, tumor resection with careful dissection, in order to preserve the neurovascular structures, is the elective surgical procedure in order to obtain an optimal functional recovery.