Fibrolipomatous hamartoma of median nerve: A rare cause of carpal tunnel syndrome and macrodactyly

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...

Fibrolipomatous hamartoma of the median nerve: A cause of acute bilateral carpal tunnel syndrome in a three-year-old child: A case report and comprehensive literature review.

A three-year-old boy was investigated for inexplicable incessant crying. On examination, his left wrist was mildly swollen (three to four months) and sensitive. Exploration and carpal tunnel decompression of the left wrist with incisional biopsy was performed for the presence of a fusiform swelling intimately associated with the median nerve. Histopathology revealed the presence of enlarged ner...

Carpal Tunnel Syndrome and Median Nerve Lesions