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Multilevel ulnar neuropathy caused by multiple intraneural hemangiomas
Dong Hwee Kim1, Jong Woo Kang, Jong Woong Park
1Department of Rehabilitation Medicine, College of Medicine, Korea University, Seoul, Korea.
Muscle & Nerve
|November 18, 2009
Summary
This study details a rare case of multilevel ulnar neuropathy caused by multiple intraneural hemangiomas. Surgical removal successfully treated the condition, offering hope for similar rare nerve disorders.
Area of Science:
- Neurology
- Vascular Malformations
- Surgical Case Reports
Background:
- Intraneural hemangiomas are exceptionally rare vascular tumors.
- Multilevel ulnar neuropathy typically has diverse etiologies.
- No prior cases documented multiple intraneural hemangiomas causing multilevel neuropathy in one nerve.
Observation:
- A 47-year-old male presented with symptoms of multilevel ulnar neuropathy.
- Electrodiagnostic studies confirmed the multilevel neuropathy.
- Ultrasonography suggested the presence of intraneural hemangiomas prior to surgery.
Findings:
- The patient had multiple intraneural hemangiomas within a single ipsilateral ulnar nerve.
- Surgical excision was performed using an operating microscope.
- The patient experienced symptom resolution post-surgery with no recurrence observed.
Implications:
- This case expands the known clinical presentations of intraneural hemangiomas.
- It highlights the diagnostic utility of ultrasonography in suspected cases.
- Successful surgical management offers a potential treatment paradigm for this rare condition.
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