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Bilateral tumor of the ulnar nerves in the cubital canal (clinical observation)

https://doi.org/10.25694/URMJ.2018.11.31

Abstract

There is a description of clinical case of the development of bilateral lesion of the ulnar nerve in the area of the cubital canal in a 45-year-old man. The patient was referred for surgical treatment for the cubital canal syndrome on the left and a tumor formation was detected during the operation. Two years later, the patient noted paresthesia on the ulnar surface of the hand on the other hand. An operative treatment was performed for an intracranial ganglion cyst. Histologically, in both cases, neurofibroma with focal angiomatosis of soft tissues was diagnosed. Due to the negative clinical dynamics, repeated operations were performed on the right ulnar nerve, during which it was not possible to separate the neoplasm tissue from the nerve because of its germination into the nerve tissue. After the second operation on the right hand, the increase of ENMG parameters of the block of conduction of the ulnar nerve in the cubital canal on the right is noted.

About the Authors

V. A. Shirokov
ФБУН «Екатеринбургский медицинский-научный центр профилактики и охраны здоровья рабочих промпредприятий» Роспотребнадзора
Russian Federation


E. N. Ilyina
ООО «Преображенская Клиника»
Russian Federation


V. I. Manashcuk
ОО «Европейский медицинский центр «УГМК-Здоровье»
Russian Federation


References

1. Гусев Е.И., Коновалов А.Н., Бурд Г.С. Неврология и нейрохирургия. М.: Медицина; 2000.

2. Никифоров А.С., Коновалов А.Н., Гусев Е.И. Клиническая неврология. Том 3. М.: «Медицина»; 2002.

3. Триумфов А.В. Топическая диагностика заболеваний нервной системы. Л.: Медицина; 1965.

4. Weiss S.W., Goldblum J.R. Enzinger and Weiss's soft tissue tumors. 4th ed. St. Louis: Mosby; 2001.

5. Шелехова К.В. Опухоли с периневральной дифференцировкой. Автореф. дис.. докт. мед. наук. Санкт-Петербург; 2010.

6. Peer S., Bodner G. High Resolution Sonography of the Peripheral Nervous System. Berlin: Springer$ 2003.

7. Попелянский Я.Ю. Болезни периферической нервной системы: Руководство для врачей. М.: Медицина; 1989.

8. Ferner R.E., Hughes R.A., Hall S.M. et al. Neurofibromatous neuropathy in neurofibromatosis 1 (NF1). j. Med. Genet. 2004; 41(11): 837-41.

9. Simonovsky V Peripheral nerve schwannoma preoperatively diagnosed by sonography: report of three cases and discussion. Eur. J. Radiol. 1997; 25(1): 47-51.

10. Салтыкова В.Г., Карпов И.Н., Никитина И.В., Шток А.В. Возможности ультразвукового исследования в диагностике опухолей периферических нервов. Ультразвуковая и функциональная диагностика. 2009; 3: 48-59.

11. Bianchi S., Martinoli C. Ultrasound of the Musculoskeletal System. Berlin: Heidelberg Springer Verlag; 2007.

12. Murphey M.D., Smith W.S., Smith S.E. et al. From the archives of the AFIP. Imaging of musculoskeletal neurogenic tumors: radiologic!pathologic correlation. Radiographics. 1999; 19(5): 1253-80.


Review

For citations:


Shirokov VA, Ilyina EN, Manashcuk VI. Bilateral tumor of the ulnar nerves in the cubital canal (clinical observation). Ural Medical Journal. 2018;(11):90-93. (In Russ.) https://doi.org/10.25694/URMJ.2018.11.31

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ISSN 2071-5943 (Print)
ISSN 2949-4389 (Online)