Peripheral nerve entrapments—rare causes of a common condition: case series

Peripheral nerve entrapments—rare causes of a common condition: case series

ABSTRACT Compressive syndromes of peripheral nerves both in the upper and lower limbs are part of daily clinical practice; however, the etiological diagnosis can be challenging and impact on the outcome of the patient. We report five cases with rare etiologies of nerve entrapments: one in the lower limb and four in the upper limbs with the final diagnosis made only during the operation. The patients evolved without post-operative complications and had good outcomes. This series includes the first report of sciatic compression by a lipoma in the popliteal fossa, two lipomas one with compression of infraclavicular brachial plexus and another with compressing the posterior interosseous nerve, and two reports of vascular lesions due to blunt traumas, which are also uncommon. This series adds to the literature more hypotheses of differential diagnoses in nerve entrapments, which is fundamental to surgical decisions and pre-operative planning—and perhaps most importantly prevents wrong diagnosis of idiopathic compressions, which would lead to a completely wrong approach and unfavorable outcomes.

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Main Authors: Barros,Laura Mendes de, Oliveira,Adilson Jose Manuel de, Santos,Alan de Souza, Lima,Flávio Leão, Valente,Rodolfo Silva
Format: Digital revista
Language:English
Published: Hospital Universitário da Universidade de São Paulo 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602020000200610
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spelling oai:scielo:S2236-196020200002006102020-10-19Peripheral nerve entrapments—rare causes of a common condition: case seriesBarros,Laura Mendes deOliveira,Adilson Jose Manuel deSantos,Alan de SouzaLima,Flávio LeãoValente,Rodolfo Silva Sciatic Neuropathy Nerve Compression Syndromes, Ulnar Nerve Radial Nerve Aneurysm Lipoma ABSTRACT Compressive syndromes of peripheral nerves both in the upper and lower limbs are part of daily clinical practice; however, the etiological diagnosis can be challenging and impact on the outcome of the patient. We report five cases with rare etiologies of nerve entrapments: one in the lower limb and four in the upper limbs with the final diagnosis made only during the operation. The patients evolved without post-operative complications and had good outcomes. This series includes the first report of sciatic compression by a lipoma in the popliteal fossa, two lipomas one with compression of infraclavicular brachial plexus and another with compressing the posterior interosseous nerve, and two reports of vascular lesions due to blunt traumas, which are also uncommon. This series adds to the literature more hypotheses of differential diagnoses in nerve entrapments, which is fundamental to surgical decisions and pre-operative planning—and perhaps most importantly prevents wrong diagnosis of idiopathic compressions, which would lead to a completely wrong approach and unfavorable outcomes.info:eu-repo/semantics/openAccessHospital Universitário da Universidade de São PauloAutopsy and Case Reports v.10 n.2 20202020-01-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602020000200610en10.4322/acr.2020.153
institution SCIELO
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Barros,Laura Mendes de
Oliveira,Adilson Jose Manuel de
Santos,Alan de Souza
Lima,Flávio Leão
Valente,Rodolfo Silva
spellingShingle Barros,Laura Mendes de
Oliveira,Adilson Jose Manuel de
Santos,Alan de Souza
Lima,Flávio Leão
Valente,Rodolfo Silva
Peripheral nerve entrapments—rare causes of a common condition: case series
author_facet Barros,Laura Mendes de
Oliveira,Adilson Jose Manuel de
Santos,Alan de Souza
Lima,Flávio Leão
Valente,Rodolfo Silva
author_sort Barros,Laura Mendes de
title Peripheral nerve entrapments—rare causes of a common condition: case series
title_short Peripheral nerve entrapments—rare causes of a common condition: case series
title_full Peripheral nerve entrapments—rare causes of a common condition: case series
title_fullStr Peripheral nerve entrapments—rare causes of a common condition: case series
title_full_unstemmed Peripheral nerve entrapments—rare causes of a common condition: case series
title_sort peripheral nerve entrapments—rare causes of a common condition: case series
description ABSTRACT Compressive syndromes of peripheral nerves both in the upper and lower limbs are part of daily clinical practice; however, the etiological diagnosis can be challenging and impact on the outcome of the patient. We report five cases with rare etiologies of nerve entrapments: one in the lower limb and four in the upper limbs with the final diagnosis made only during the operation. The patients evolved without post-operative complications and had good outcomes. This series includes the first report of sciatic compression by a lipoma in the popliteal fossa, two lipomas one with compression of infraclavicular brachial plexus and another with compressing the posterior interosseous nerve, and two reports of vascular lesions due to blunt traumas, which are also uncommon. This series adds to the literature more hypotheses of differential diagnoses in nerve entrapments, which is fundamental to surgical decisions and pre-operative planning—and perhaps most importantly prevents wrong diagnosis of idiopathic compressions, which would lead to a completely wrong approach and unfavorable outcomes.
publisher Hospital Universitário da Universidade de São Paulo
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2236-19602020000200610
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AT oliveiraadilsonjosemanuelde peripheralnerveentrapmentsrarecausesofacommonconditioncaseseries
AT santosalandesouza peripheralnerveentrapmentsrarecausesofacommonconditioncaseseries
AT limaflavioleao peripheralnerveentrapmentsrarecausesofacommonconditioncaseseries
AT valenterodolfosilva peripheralnerveentrapmentsrarecausesofacommonconditioncaseseries
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