Carpal Tunnel Syndrome Secondary to Fibrolipomatous Hamartoma of the Median Nerve

Fibrolipomatous hamartoma of the median nerve presenting with carpal tunnel syndrome.

Neurology India | May-Jun 2009 | Vol 57 | Issue 3 A 37-year-old gentleman presented with weakness, burning sensation, pain and a progressively increasing swelling in the volar aspect of the right palm and wrist for three years. On examination there was wasting of the thenar eminence with muscle power of MRC Grade II and decreased sensation in the median nerve distribution of the right hand. Ner...

Fibrolipomatous Hamartoma of the Median Nerve

A case of fibrolipomatous hamartoma of the median nerve is presented. The operative findings were characteristic. The diagnosis should be confirmed by histological examination of a biopsy from an involved palmar cutaneous branch, and treatment should be limited to decompression of the ligament or fascia over the involved area.

Fibrolipomatous hamartoma of the median nerve

http://www.sajr.org.za doi:10.4102/sajr.v19i2.886 Fibrolipomatous hamartoma is a rare benign tumour most commonly affecting the median nerve and is characterised by fibro-fatty nerve infiltration. It results in fusiform nerve enlargement with a pathognomonic ‘spaghetti-like’ imaging appearance. Patients present with numbness and paraesthesia and later with motor deficits in the affected nerve d...

Carpal tunnel syndrome due to lipofibromatous hamartoma of the median nerve.

This report describes a rare case of secondary carpal tunnel syndrome due to a lipofibromatous hamartoma of the median nerve. Excision of the fibrofatty tissue between the nerve fascicles without risking damage to the fascicles was impossible. The transverse carpal ligament was incised and an epineurotomy was performed. Within six months, the 25-year-old female patient's symptoms were much impr...

Carpal Tunnel Syndrome and Median Nerve Lesions