Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ Appearance
We studied the US imaging findings of lipomatosis of nerve and macrodystrophia lipoma in three patients. Three patients were seen at three affiliated institutions with an enlarged digit. They all underwent US, subsequently followed by an MRI study. The nerves showed marked enlargement and extension...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2022-07-01
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| Series: | Journal of the Belgian Society of Radiology |
| Subjects: | |
| Online Access: | https://www.jbsr.be/articles/2849 |
| _version_ | 1811220975158558720 |
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| author | Kristin Francken Tjeerd Jager Johan Vanlauwe Johan de Mey Maryam Shahabpour Michel De Maeseneer |
| author_facet | Kristin Francken Tjeerd Jager Johan Vanlauwe Johan de Mey Maryam Shahabpour Michel De Maeseneer |
| author_sort | Kristin Francken |
| collection | DOAJ |
| description | We studied the US imaging findings of lipomatosis of nerve and macrodystrophia lipoma in three patients. Three patients were seen at three affiliated institutions with an enlarged digit. They all underwent US, subsequently followed by an MRI study. The nerves showed marked enlargement and extension over a length of 9–16 cm. Digital branches were always involved. The appearance on cross section was an enlarged hyperechoic endoneurium with inlying thickened and hypoechoic fascicles. On transverse images this resulted in a ‘chocolate cookie’ aspect and in the long axis a ‘spaghetti-like’ image. The US appearance of lipomatosis of nerve, not unlike MRI, is rather typical. With US, care should be taken in areas that are more difficult to assess as the sole of the foot, or where the ‘chocolate cookie’ appearance is not so obvious, such as the digits. |
| first_indexed | 2024-04-12T07:52:04Z |
| format | Article |
| id | doaj.art-2200bd2c48ed411c8b35592361843bf3 |
| institution | Directory Open Access Journal |
| issn | 2514-8281 |
| language | English |
| last_indexed | 2024-04-12T07:52:04Z |
| publishDate | 2022-07-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Journal of the Belgian Society of Radiology |
| spelling | doaj.art-2200bd2c48ed411c8b35592361843bf32022-12-22T03:41:35ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812022-07-01106110.5334/jbsr.28491505Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ AppearanceKristin Francken0Tjeerd Jager1Johan Vanlauwe2Johan de Mey3Maryam Shahabpour4Michel De Maeseneer5Department of Radiology, UZ Brussel, Brussels; Department of Radiology, RijkevorselDepartment of Radiology, Aalsters Stedelijk Ziekenhuis, AalstDepartment of Orthopedic Surgery, UZ Brussel, BrusselsDepartment of Radiology, UZ Brussel, BrusselsFree University Brussels, BrusselsDepartment of Radiology, UZ Brussel, BrusselsWe studied the US imaging findings of lipomatosis of nerve and macrodystrophia lipoma in three patients. Three patients were seen at three affiliated institutions with an enlarged digit. They all underwent US, subsequently followed by an MRI study. The nerves showed marked enlargement and extension over a length of 9–16 cm. Digital branches were always involved. The appearance on cross section was an enlarged hyperechoic endoneurium with inlying thickened and hypoechoic fascicles. On transverse images this resulted in a ‘chocolate cookie’ aspect and in the long axis a ‘spaghetti-like’ image. The US appearance of lipomatosis of nerve, not unlike MRI, is rather typical. With US, care should be taken in areas that are more difficult to assess as the sole of the foot, or where the ‘chocolate cookie’ appearance is not so obvious, such as the digits.https://www.jbsr.be/articles/2849lipomatosis of nerve fibrolipomatous hamartomaus macrodystrophia lipomatosa macrodactylyus |
| spellingShingle | Kristin Francken Tjeerd Jager Johan Vanlauwe Johan de Mey Maryam Shahabpour Michel De Maeseneer Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ Appearance Journal of the Belgian Society of Radiology lipomatosis of nerve fibrolipomatous hamartoma us macrodystrophia lipomatosa macrodactyly us |
| title | Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ Appearance |
| title_full | Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ Appearance |
| title_fullStr | Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ Appearance |
| title_full_unstemmed | Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ Appearance |
| title_short | Ultrasound of Lipomatosis of Nerve Associated with Macrodactyly: ‘Spaghetti and Chocolate Cookie’ Appearance |
| title_sort | ultrasound of lipomatosis of nerve associated with macrodactyly spaghetti and chocolate cookie appearance |
| topic | lipomatosis of nerve fibrolipomatous hamartoma us macrodystrophia lipomatosa macrodactyly us |
| url | https://www.jbsr.be/articles/2849 |
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