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Bilateral fibrolipomatous hamartoma of the median nerve with macrocheiria and late-onset nerve entrapment syndrome

✍ Scribed by Bernd-Ulrich Meyer; Simone Röricht; Rainer Schmitt


Publisher
John Wiley and Sons
Year
1998
Tongue
English
Weight
150 KB
Volume
21
Category
Article
ISSN
0148-639X

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✦ Synopsis


The case of a 46-year-old man is reported who presented with an extraordinary constellation of fibrolipomatous hamartomas of the right ulnar and both median nerves, with a right-sided giant hand (''macrocheiria'') due to enlarged bones and subcutaneous tissue, and unusual late manifestation of nerve entrapment at the right wrist. Magnetic resonance imaging of the hypertrophied nerves disclosed large nerve fascicles surrounded by fibrous tissue, which allowed preoperative diagnosis.