Fibrolipomatous Hamartoma of the Median Nerve: A Case Report

Fibrolipomatous hamartoma, also known as fibrofatty overgrowth or perineural lipoma, or neural fibrolipoma, is a rare, benign, congenital lesion that occurs due to an abnormal overgrowth of mature fat and fibroblasts within the perineurium. This leads to the expansion of the nerve and separation o...

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Main Authors: Chandrasekhar Patil, Srilakshmi Tirumalgari, KS Prashanth Kumar, N Manender Reddy
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/18524/64424_CE[Ra1]_F[SK]_QC_(SHK_AKD)_PF1(HB_SS_RDW_AKD_HB_OM)_PFA_NC(HB_KM)_PN(KM).pdf
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author Chandrasekhar Patil
Srilakshmi Tirumalgari
KS Prashanth Kumar
N Manender Reddy
author_facet Chandrasekhar Patil
Srilakshmi Tirumalgari
KS Prashanth Kumar
N Manender Reddy
author_sort Chandrasekhar Patil
collection DOAJ
description Fibrolipomatous hamartoma, also known as fibrofatty overgrowth or perineural lipoma, or neural fibrolipoma, is a rare, benign, congenital lesion that occurs due to an abnormal overgrowth of mature fat and fibroblasts within the perineurium. This leads to the expansion of the nerve and separation of fascicles. It is more commonly observed in the median nerve at the wrist or hand level. Here, the authors presented the case of a 32-year-old female patient, who complained of swelling in the left wrist region for the past two years. The swelling gradually increased in size over one year and caused pain and paresthesia. Magnetic Resonance Imaging (MRI) of the left wrist revealed fibrolipomatous hamartoma of the median nerve. Surgical management was advised, but the patient declined and opted for conservative treatment for two months. Knowledge of this rare condition helps radiologists make an accurate diagnosis and may eliminate the need for invasive biopsy.
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spelling doaj.art-0939ccc3e5224a0f848f4f77f4b3745c2023-10-20T11:16:56ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-10-011710010210.7860/JCDR/2023/64424.18524Fibrolipomatous Hamartoma of the Median Nerve: A Case ReportChandrasekhar Patil0Srilakshmi Tirumalgari1KS Prashanth Kumar2N Manender Reddy3Assistant Professor, Department of Radiology, Malla Reddy Medical College For Women, Hyderabad, Telangana, India.Junior Resident, Department of Radiology, Malla Reddy Medical College For Women, Hyderabad, Telangana, India.Professor, Department of Radiology, Malla Reddy Medical College For Women, Hyderabad, Telangana, India.Assistant Professor, Department of Radiology, Malla Reddy Medical College For Women, Hyderabad, Telangana, India.Fibrolipomatous hamartoma, also known as fibrofatty overgrowth or perineural lipoma, or neural fibrolipoma, is a rare, benign, congenital lesion that occurs due to an abnormal overgrowth of mature fat and fibroblasts within the perineurium. This leads to the expansion of the nerve and separation of fascicles. It is more commonly observed in the median nerve at the wrist or hand level. Here, the authors presented the case of a 32-year-old female patient, who complained of swelling in the left wrist region for the past two years. The swelling gradually increased in size over one year and caused pain and paresthesia. Magnetic Resonance Imaging (MRI) of the left wrist revealed fibrolipomatous hamartoma of the median nerve. Surgical management was advised, but the patient declined and opted for conservative treatment for two months. Knowledge of this rare condition helps radiologists make an accurate diagnosis and may eliminate the need for invasive biopsy.https://jcdr.net/articles/PDF/18524/64424_CE[Ra1]_F[SK]_QC_(SHK_AKD)_PF1(HB_SS_RDW_AKD_HB_OM)_PFA_NC(HB_KM)_PN(KM).pdfmagnetic resonance imagingneural fibrolipomaparaesthesiaperineural lipoma
spellingShingle Chandrasekhar Patil
Srilakshmi Tirumalgari
KS Prashanth Kumar
N Manender Reddy
Fibrolipomatous Hamartoma of the Median Nerve: A Case Report
Journal of Clinical and Diagnostic Research
magnetic resonance imaging
neural fibrolipoma
paraesthesia
perineural lipoma
title Fibrolipomatous Hamartoma of the Median Nerve: A Case Report
title_full Fibrolipomatous Hamartoma of the Median Nerve: A Case Report
title_fullStr Fibrolipomatous Hamartoma of the Median Nerve: A Case Report
title_full_unstemmed Fibrolipomatous Hamartoma of the Median Nerve: A Case Report
title_short Fibrolipomatous Hamartoma of the Median Nerve: A Case Report
title_sort fibrolipomatous hamartoma of the median nerve a case report
topic magnetic resonance imaging
neural fibrolipoma
paraesthesia
perineural lipoma
url https://jcdr.net/articles/PDF/18524/64424_CE[Ra1]_F[SK]_QC_(SHK_AKD)_PF1(HB_SS_RDW_AKD_HB_OM)_PFA_NC(HB_KM)_PN(KM).pdf
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AT srilakshmitirumalgari fibrolipomatoushamartomaofthemediannerveacasereport
AT ksprashanthkumar fibrolipomatoushamartomaofthemediannerveacasereport
AT nmanenderreddy fibrolipomatoushamartomaofthemediannerveacasereport