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...
Main Authors: | , , |
---|---|
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 |
_version_ | 1817987868207874048 |
---|---|
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. |
first_indexed | 2024-04-14T00:27:43Z |
format | Article |
id | doaj.art-b96b6c6757244ed090d4ad872254d3ec |
institution | Directory Open Access Journal |
issn | 2234-6163 2234-6171 |
language | English |
last_indexed | 2024-04-14T00:27:43Z |
publishDate | 2016-07-01 |
publisher | Thieme Medical Publishers, Inc. |
record_format | Article |
series | Archives of Plastic Surgery |
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 |
work_keys_str_mv | AT saraaliciagonzalezporto intraneuralvenousmalformationsofthemediannerve AT albagonzalezrodriguez intraneuralvenousmalformationsofthemediannerve AT josemidonmiguez intraneuralvenousmalformationsofthemediannerve |