Posterior Tibial Nerve Lymphoma Presenting as Tarsal Tunnel Syndrome: A Case Report.

Autor: Moussa A; Internist, Department of Internal Medicine, Faculty of Medicine, Lebanese University, Beirut, Lebanon., Chakhachiro Z; Assistant Professor, Department of Pathology and Laboratory Medicine, American University Medical Center, Beirut, Lebanon., Sawaya RA; Professor, Department of Neurology, American University Medical Center, Beirut, Lebanon; Director, Clinical Neurophysiology Laboratory, American University Medical Center, Beirut, Lebanon. Electronic address: rs01@aub.edu.lb.
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2018 Jan - Feb; Vol. 57 (1), pp. 167-169. Date of Electronic Publication: 2017 Aug 26.
DOI: 10.1053/j.jfas.2017.07.004
Abstrakt: We report a case of isolated posterior tibial B-cell lymphoma of the posterior tibial nerve presenting as tarsal tunnel syndrome. This diagnosis was considered because of the clinical presentation and electrophysiologic abnormalities. It was further confirmed by the magnetic resonance imaging findings of the ankle and tissue pathologic findings. Whole body positron emission tomography confirmed this to be a localized lymphoma involving the peripheral nerve. The patient underwent chemotherapy with complete tumor resolution. She had had no relapse after 8 months of follow-up. Isolated peripheral nerve lymphomas are very rare, and involvement of the posterior tibial nerve has not been previously reported. Furthermore, the present case report highlights the importance of the clinical examination in the diagnosis of tarsal tunnel syndrome before performing surgical decompression.
(Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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