TY - JOUR
T1 - Schwannoma of the Median Nerve (even out of the wrist) may mimic Carpal Tunnel Syndrome
AU - Padua, Luca
AU - Pazzaglia, C
AU - Insola, Angelo
AU - Aprile, I
AU - Caliandro, Pietro
AU - Rampoldi, Michele
AU - Bertolini, Carlo
AU - Tonali, Pietro Attilio
PY - 2006
Y1 - 2006
N2 - Over the last 3 years we have observed 5 cases of median nerve schwannoma that clinically simulated carpal tunnel syndrome (CTS). We describe the atypical clinical-neurophysiological picture indicating to perform ultrasonography (US). We retrospectively re-evaluated 5 cases of schwannoma that clinically simulated CTS. Five consecutive patients were referred to the neurophysiopathology laboratory. All patients complained of symptoms and had a neurophysiological examination that might have indicated CTS. Nevertheless we performed US because of some incongruous aspects. In cases of atypical abnormalities at neurophysiological and clinical examination, or dissociation between neurophysiological and clinical findings, physicians should consider the presence of a median nerve tumour. Here, US evaluation is very useful as supporting diagnostic methodology to assess the anatomopathological condition of the nerve lesion and must not be limited to the wrist.
AB - Over the last 3 years we have observed 5 cases of median nerve schwannoma that clinically simulated carpal tunnel syndrome (CTS). We describe the atypical clinical-neurophysiological picture indicating to perform ultrasonography (US). We retrospectively re-evaluated 5 cases of schwannoma that clinically simulated CTS. Five consecutive patients were referred to the neurophysiopathology laboratory. All patients complained of symptoms and had a neurophysiological examination that might have indicated CTS. Nevertheless we performed US because of some incongruous aspects. In cases of atypical abnormalities at neurophysiological and clinical examination, or dissociation between neurophysiological and clinical findings, physicians should consider the presence of a median nerve tumour. Here, US evaluation is very useful as supporting diagnostic methodology to assess the anatomopathological condition of the nerve lesion and must not be limited to the wrist.
KW - CARPAL TUNNEL SYNDROME
KW - CARPAL TUNNEL SYNDROME
UR - http://hdl.handle.net/10807/19817
M3 - Article
SN - 1590-1874
VL - 26
SP - 430
EP - 434
JO - Neurological Sciences
JF - Neurological Sciences
ER -