Open AccessNerve compression due to benign tumors or ganglion cysts in the upper limb – case series
Author(s) -
Andreea Grosu-Bularda,
Răzvan Nicolae Teodoreanu,
Andra-Luana LAZARESCU,
Marius Popescu,
Florin-Vlad HODEA,
Flavia Francesca LITA,
Alexandru Stoian,
Cristian VANCEA,
Liviu Petre COJOCARU,
Ioan Lascăr
Publication year - 2021
Publication title -
romanian journal of medical practice
Language(s) - English
Resource type - Journals
eISSN - 2069-6108
pISSN - 1842-8258
DOI - 10.37897/rjmp.2021.4.19
Subject(s) - medicine , ganglion cyst , radial nerve , ulnar nerve , posterior interosseous nerve , forearm , neurovascular bundle , upper limb , cyst , elbow , schwannoma , anatomy , nerve sheath tumor , median nerve , ganglion , lipoma , asymptomatic , surgery , palsy , pathology , alternative medicine
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.