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Traumatic fascicular neuroma.

H H Goebel1, R Besser

  • 1Abteilungen für Neuropathologie, Universität Mainz, Federal Republic of Germany.

Acta Neuropathologica
|January 1, 1988
PubMed
Summary
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A man developed fascicular neuroma in his sural nerve, unrelated to amiodarone neuropathy. This nerve tumor, possibly from blunt trauma, may go undetected without biopsy.

Area of Science:

  • Neurology
  • Pathology

Background:

  • A 72-year-old male patient presented with amiodarone-induced neuropathy.
  • The patient had no history of nerve injury or invasive procedures involving the sural nerve.

Observation:

  • A biopsy of the right sural nerve revealed a fascicular neuroma.
  • The neuroma was determined to be an incidental finding, unrelated to the patient's amiodarone neuropathy.

Findings:

  • Fascicular neuromas can occur as isolated findings, potentially unrelated to underlying neuropathic conditions.
  • The neuroma was likely caused by blunt trauma, as confirmed by the absence of iatrogenic injury from electroneurographic needling.

Implications:

  • Fascicular neuromas may be more common than previously thought and can present without overt neurological deficits.

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  • Biopsy or autopsy may be necessary to diagnose these incidental nerve tumors, especially in patients with concurrent neuropathic processes.