Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Tumours
Abstract number: 26340
INTRANEURAL LIPOFIBROMA OF THE MEDIAN NERVE A RARE CAUSE OF
CARPAL TUNNEL SYNDROME
Tarun SURI, Anil DHAL, Sumit SURAL
Maulana Azad Medical College, Lok Nayak Hospital, New Delhi, India, New delhi
(INDIA)
Median nerve compression in the carpal tunnel is mostly idiopathic and a cause of
significant disability. Other common causes are Colles fracture, ganglions and
lipoma. We present the case of a 40 year old male who developed symptoms of
fatigue and paraesthesias after prolonged writing. A clinical diagnosis of carpal tunnel
syndrome was made. MRI of the wrist showed diffuse lipomatous proliferation of the
median nerve suggestive of hamartoma. Intra-operatively, marked thickening of the
nerve was seen. Nerve sheath biopsy was taken and decompression of the canal
done. Patient had relief of symptoms post-operatively.
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