Intraneural Venous Malformations of the Median Nerve

Venous malformations arising from the peripheral nerve are a rare type of vascular malformation. We present the first case of an intraneural venous malformation of the median nerve to be reported in a child and review the previous two cases of median nerve compression due to a venous malformation th...

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Main Authors: Sara Alicia González Porto, Alba González Rodríguez, José Midón Míguez
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2016-07-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.4.371
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author Sara Alicia González Porto
Alba González Rodríguez
José Midón Míguez
author_facet Sara Alicia González Porto
Alba González Rodríguez
José Midón Míguez
author_sort Sara Alicia González Porto
collection DOAJ
description Venous malformations arising from the peripheral nerve are a rare type of vascular malformation. We present the first case of an intraneural venous malformation of the median nerve to be reported in a child and review the previous two cases of median nerve compression due to a venous malformation that have been reported. These cases presented with painless masses in the volar aspect of the wrist or with symptoms suggestive of carpal tunnel syndrome. Clinical suspicion should lead to the use of Doppler ultrasonography as the first-line diagnostic tool. Magnetic resonance imaging and histopathology can confirm the diagnosis, as phleboliths are pathognomonic of venous malformations. Surgical treatment appears to be the only modality capable of successfully controlling the growth of an intraneural malformation. Sclerotherapy and radiotherapy have never been used to treat this type of malformation.
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spelling doaj.art-b96b6c6757244ed090d4ad872254d3ec2022-12-22T02:22:40ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712016-07-01430437137310.5999/aps.2016.43.4.371695Intraneural Venous Malformations of the Median NerveSara Alicia González Porto0Alba González Rodríguez1José Midón Míguez2Department of Plastic Surgery, Hospital Universitario de A Coruña, A Coruña, SpainDepartment of Plastic Surgery, Hospital Universitario de A Coruña, A Coruña, SpainDepartment of Plastic Surgery, Hospital Universitario de A Coruña, A Coruña, SpainVenous malformations arising from the peripheral nerve are a rare type of vascular malformation. We present the first case of an intraneural venous malformation of the median nerve to be reported in a child and review the previous two cases of median nerve compression due to a venous malformation that have been reported. These cases presented with painless masses in the volar aspect of the wrist or with symptoms suggestive of carpal tunnel syndrome. Clinical suspicion should lead to the use of Doppler ultrasonography as the first-line diagnostic tool. Magnetic resonance imaging and histopathology can confirm the diagnosis, as phleboliths are pathognomonic of venous malformations. Surgical treatment appears to be the only modality capable of successfully controlling the growth of an intraneural malformation. Sclerotherapy and radiotherapy have never been used to treat this type of malformation.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.4.371hemangiomamedian nervevascular malformationcarpal tunnel syndrome
spellingShingle Sara Alicia González Porto
Alba González Rodríguez
José Midón Míguez
Intraneural Venous Malformations of the Median Nerve
Archives of Plastic Surgery
hemangioma
median nerve
vascular malformation
carpal tunnel syndrome
title Intraneural Venous Malformations of the Median Nerve
title_full Intraneural Venous Malformations of the Median Nerve
title_fullStr Intraneural Venous Malformations of the Median Nerve
title_full_unstemmed Intraneural Venous Malformations of the Median Nerve
title_short Intraneural Venous Malformations of the Median Nerve
title_sort intraneural venous malformations of the median nerve
topic hemangioma
median nerve
vascular malformation
carpal tunnel syndrome
url http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2016.43.4.371
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