Pronator syndrome and anterior interosseous nerve palsy due to neurolymphomatosis: a case report.

Autor: Leung SL; Department of Radiology, NYU Langone Health, Langone Orthopedic Center, 333 E 38th St, 6th Floor, New York, NY, 10016, USA. sophie.leung@aya.yale.edu., Daniels SP; Department of Radiology, NYU Langone Health, Langone Orthopedic Center, 333 E 38th St, 6th Floor, New York, NY, 10016, USA., Hacquebord JH; Division of Hand Surgery, Department of Orthopedic Surgery; Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, 530 1st Avenue, Suite 8U, New York, NY, 10016, USA., Ward N; Department of Pathology, NYU Langone Health, 240 East 38th Street, 22nd Floor, New York, NY, 10016, USA., Adler RS; Department of Radiology, NYU Langone Health, Langone Orthopedic Center, 333 E 38th St, 6th Floor, New York, NY, 10016, USA.
Jazyk: angličtina
Zdroj: Skeletal radiology [Skeletal Radiol] 2024 Mar; Vol. 53 (3), pp. 577-582. Date of Electronic Publication: 2023 Aug 11.
DOI: 10.1007/s00256-023-04410-8
Abstrakt: Pronator syndrome is a median nerve entrapment neuropathy that can be difficult to diagnose due to its variable presentation and objective findings. Neurolymphomatosis is an uncommon disease in which malignant lymphocytes infiltrate central or peripheral nerve endoneurium and is often missed for prolonged periods prior to diagnosis. We present a rare case of pronator syndrome and anterior interosseous nerve palsy due to neurolymphomatosis that was occult on initial MRI in spite of the presence of a median nerve mass discovered intra-operatively during neurolysis. This case demonstrates the value of ultrasound for the examination of peripheral nerve pathology and illustrates its utility as an adjunct to MRI, in part due to the ability to screen a large region.
(© 2023. The Author(s), under exclusive licence to International Skeletal Society (ISS).)
Databáze: MEDLINE
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