Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case Report

Schwannomas are also known as neurolemmas that are usually originated from Schwann cells located in the peripheric nerve sheaths. They are the most common tumours of the hand (0.8–2%). They usually present solitary swelling along the course of the nerve however multiple lesions may be present in cas...

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Main Authors: Harun Kütahya, Ali Güleç, Yunus Güzel, Burkay Kacira, Serdar Toker
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/950106
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author Harun Kütahya
Ali Güleç
Yunus Güzel
Burkay Kacira
Serdar Toker
author_facet Harun Kütahya
Ali Güleç
Yunus Güzel
Burkay Kacira
Serdar Toker
author_sort Harun Kütahya
collection DOAJ
description Schwannomas are also known as neurolemmas that are usually originated from Schwann cells located in the peripheric nerve sheaths. They are the most common tumours of the hand (0.8–2%). They usually present solitary swelling along the course of the nerve however multiple lesions may be present in cases of NF type 1, familial neurofibromatosis, and sporadic schwannomatosis. Schwannomas are generally represented as an asymptomatic mass; however pain, numbness and fatigue may take place with the increasing size of the tumour. EMG (electromyelography), MRI (magnetic resonance imagination), and USG (ultrasound) are helpful in the diagnosis. Surgical removal is usually curative. In this paper, we present a 24-year-old male referred to our clinic for a lump located at the volar side of the left wrist and a lump located in his left palm and numbness at his 3rd and 4th fingers. Total excision was performed for both lesions. Histopathological examination of the masses revealed typical features of schwannoma. At the 6th-month followup the patient was symptom-free except for slight paresthesia of the 3rd and the 4th fingers. For our knowledge, this is the second case in the literature presenting wrist and palm involvement of the median nerve schwannoma.
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issn 2090-6749
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publishDate 2013-01-01
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series Case Reports in Orthopedics
spelling doaj-art-16db12a2c1bc42a2a33e902ccb09ed042025-02-03T05:54:22ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/950106950106Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case ReportHarun Kütahya0Ali Güleç1Yunus Güzel2Burkay Kacira3Serdar Toker4Department of Orthopaedics and Traumatology, Konya Beyhekim State Hospital, 42100 Selçuklu, Konya, TurkeyDepartment of Orthopaedics and Traumatology, Konya Medical Training and Research Hospital, Konya, TurkeyYozgat Akdağmadeni State Hospital, Yozgat, TurkeyDepartment of Orthopaedics and Traumatology, NE University, Meram School of Medicine, Konya, TurkeyDivision of Hand and Upper Extremity Surgery, Department of Orthopaedics and Traumatology, NE University, Meram School of Medicine, Konya, TurkeySchwannomas are also known as neurolemmas that are usually originated from Schwann cells located in the peripheric nerve sheaths. They are the most common tumours of the hand (0.8–2%). They usually present solitary swelling along the course of the nerve however multiple lesions may be present in cases of NF type 1, familial neurofibromatosis, and sporadic schwannomatosis. Schwannomas are generally represented as an asymptomatic mass; however pain, numbness and fatigue may take place with the increasing size of the tumour. EMG (electromyelography), MRI (magnetic resonance imagination), and USG (ultrasound) are helpful in the diagnosis. Surgical removal is usually curative. In this paper, we present a 24-year-old male referred to our clinic for a lump located at the volar side of the left wrist and a lump located in his left palm and numbness at his 3rd and 4th fingers. Total excision was performed for both lesions. Histopathological examination of the masses revealed typical features of schwannoma. At the 6th-month followup the patient was symptom-free except for slight paresthesia of the 3rd and the 4th fingers. For our knowledge, this is the second case in the literature presenting wrist and palm involvement of the median nerve schwannoma.http://dx.doi.org/10.1155/2013/950106
spellingShingle Harun Kütahya
Ali Güleç
Yunus Güzel
Burkay Kacira
Serdar Toker
Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case Report
Case Reports in Orthopedics
title Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case Report
title_full Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case Report
title_fullStr Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case Report
title_full_unstemmed Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case Report
title_short Schwannoma of the Median Nerve at the Wrist and Palmar Regions of the Hand: A Rare Case Report
title_sort schwannoma of the median nerve at the wrist and palmar regions of the hand a rare case report
url http://dx.doi.org/10.1155/2013/950106
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