Olgu Sunumu
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Kübital Tünel Sendromuna Neden Olan Ulnar Schwannom: Olgu Sunumu

Yıl 2021, Cilt: 2 Sayı: 3, 224 - 227, 17.11.2021

Turan Kandemir Zeki Serdar Ataizi Müge Sezer

Öz

Ulnar sinirin anatomik seyri sırasında basıya uğradığı en sık yer dirsek düzeyindeki kübital olukdur. Kübital tünel sendromu etyolojisinde en sık kronik bası ve travma yer almaktadır. Sinir kılıfı tümörleri de etyolojide yer almaktadır. Schwannomlar schwan hücrelerinden gelişen benign sinir kılıfı tümörleridir. Olgumuz 45 yaşında bayan hasta olup sağ el 4. ve 5. parmaklarda meydana gelen uyuşma şikayeti ile polikliniğimize başvurdu. Fizik muayenede sağ dirsek medial epikondil komşuluğunda mobil yaklaşık olarak 3 çapında kitlesel lezyon saptandı. Cerrahiye alınarak kitle tamamen çıkarıldı. Histopatolojik incelemesi schwannom olarak geldi. Periferik schwannomlar bazen tuzak nöropatilere neden olabilir. Cerrahi sırasında dikkatli diseksiyon hastaya nöral hasar vermemizi önleyecektir.

Anahtar Kelimeler

ulnar sinir kübital tünal sendromu schwannom

Destekleyen Kurum

YOK

Kaynakça

  • 1. Cutts S. Cubital tunnel syndrome. Postgrad Med J. 2007;83:28-31.
  • 2. Elhassan B, Steinmann SP: Entrapment neuropathy of the unlar nerve. J Am Acad Orthop Surg. 2007;15: 672- 81.
  • 3. Bednar MS. Ulnar tunnel syndrome. Hand Clin 1996; 12: 657-64.
  • 4. Gosk J, Zimmer K, Rutowski R. Peripheral nerve tumours--diagnostic and therapeutical basics. Folia Neuropathol. 2004;42(1):31-5.
  • 5. Zhou J, Man XY, Zheng M, Cai SQ. Multiple plexiform schwannoma of a finger. Eur J Dermatol. 2012 Jan-Feb;22(1):149-50.
  • 6. Pilavaki M, Chourmouzi D, Kiziridou A, Skordalaki A, Zarampoukas T, Drevelengas A. Imaging of peripheral nerve sheath tumors with pathologic correlation: pictorial review. Eur J Radiol. 2004 Dec;52(3):229-39.
  • 7. Tang CY, Fung B, Fok M, Zhu J. Schwannoma in the upper limbs. Biomed Res Int. 2013;2013:167196.
  • 8. Kransdorf MJ. Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol. 1995 Feb;164(2):395-402.
  • 9. Enzinger FM, Weiss SW: Benign tumors of peripheral nerves. In: Enzinger FM, Weiss SW (ed). Soft Tissue Tumors, 3rd ed. St. Louis: Mosby-Year Book, 1995: p. 821-88.
  • 10. Gupta G, Maniker A. Malignant peripheral nerve sheath tumors. Neurosurg Focus. 2007;22(6):E12.
  • 11. Richardson JK, Gren DF, Jamieson SC, Valentin FC. Gender, body mass and age as risk factors for ulnar mononeuropathy at the elbow. Muscle Nerve. 2001;24(4):551–4.
  • 12. Ichikawa J, Sato E, Haro H, Anayama S, Ando T, Hamada Y. Posterior interosseous nerve palsy due to schwannoma: case report. J Hand Surg Am. 2008; 33:1525-8.
  • 13. Kang HJ, Shin SJ, Kang ES. Schwannomas of the upperextremity. J Hand Surg Br. 2000;25(6):604–7.
  • 14. Levi AD, Ross AL, Cuartas E, Qadir R, Temple HT. The surgical management of symptomatic peripheral nerve sheath tumors. Neurosurgery 2010;66:833–40.
  • 15. Jiménez-Heffernan JA, López-Ferrer P, Vicandi B, Hardisson D, Gamallo C, Viguer JM. Cytologic features of malignant peripheral nerve sheath tumor. Acta Cytol 1999;43:175–83.

Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report

Yıl 2021, Cilt: 2 Sayı: 3, 224 - 227, 17.11.2021

Turan Kandemir Zeki Serdar Ataizi Müge Sezer

Öz

The most common place of compression during the anatomical course of the ulnar nerve is the cubital groove at the elbow level. Chronic compression and trauma are the most common etiology of cubital tunnel. In addition, nerve sheath tumors are also found. Schwannomas are benign nerve sheath tumors developing from schwann cells. In our case is a 45 year-old female patient presented to our neurosurgery outpatient clinic with numbness in finger 4th and 5th of right hand. Physical examination revealed a 3 cm-diameter, mobile mass lesion located in the medial epicondyle of the right elbow. The patient underwent surgery. Under general anaesthesia, the tumor was completely resected. The histopathological examination of the lesion was reported as Schwannoma. Peripheral schwannomas sometimes can cause entrapment neuropathies. Careful dissection during surgery will prevent us from causing neural damage.

Anahtar Kelimeler

ulnar nerve cubital tunnel syndrome schwannoma

Kaynakça

  • 1. Cutts S. Cubital tunnel syndrome. Postgrad Med J. 2007;83:28-31.
  • 2. Elhassan B, Steinmann SP: Entrapment neuropathy of the unlar nerve. J Am Acad Orthop Surg. 2007;15: 672- 81.
  • 3. Bednar MS. Ulnar tunnel syndrome. Hand Clin 1996; 12: 657-64.
  • 4. Gosk J, Zimmer K, Rutowski R. Peripheral nerve tumours--diagnostic and therapeutical basics. Folia Neuropathol. 2004;42(1):31-5.
  • 5. Zhou J, Man XY, Zheng M, Cai SQ. Multiple plexiform schwannoma of a finger. Eur J Dermatol. 2012 Jan-Feb;22(1):149-50.
  • 6. Pilavaki M, Chourmouzi D, Kiziridou A, Skordalaki A, Zarampoukas T, Drevelengas A. Imaging of peripheral nerve sheath tumors with pathologic correlation: pictorial review. Eur J Radiol. 2004 Dec;52(3):229-39.
  • 7. Tang CY, Fung B, Fok M, Zhu J. Schwannoma in the upper limbs. Biomed Res Int. 2013;2013:167196.
  • 8. Kransdorf MJ. Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol. 1995 Feb;164(2):395-402.
  • 9. Enzinger FM, Weiss SW: Benign tumors of peripheral nerves. In: Enzinger FM, Weiss SW (ed). Soft Tissue Tumors, 3rd ed. St. Louis: Mosby-Year Book, 1995: p. 821-88.
  • 10. Gupta G, Maniker A. Malignant peripheral nerve sheath tumors. Neurosurg Focus. 2007;22(6):E12.
  • 11. Richardson JK, Gren DF, Jamieson SC, Valentin FC. Gender, body mass and age as risk factors for ulnar mononeuropathy at the elbow. Muscle Nerve. 2001;24(4):551–4.
  • 12. Ichikawa J, Sato E, Haro H, Anayama S, Ando T, Hamada Y. Posterior interosseous nerve palsy due to schwannoma: case report. J Hand Surg Am. 2008; 33:1525-8.
  • 13. Kang HJ, Shin SJ, Kang ES. Schwannomas of the upperextremity. J Hand Surg Br. 2000;25(6):604–7.
  • 14. Levi AD, Ross AL, Cuartas E, Qadir R, Temple HT. The surgical management of symptomatic peripheral nerve sheath tumors. Neurosurgery 2010;66:833–40.
  • 15. Jiménez-Heffernan JA, López-Ferrer P, Vicandi B, Hardisson D, Gamallo C, Viguer JM. Cytologic features of malignant peripheral nerve sheath tumor. Acta Cytol 1999;43:175–83.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Olgu Sunumu
Yazarlar

Turan Kandemir 0000-0002-6230-0645

Zeki Serdar Ataizi 0000-0001-5960-3082

Müge Sezer 0000-0001-6226-8801

Yayımlanma Tarihi 17 Kasım 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 2 Sayı: 3

Kaynak Göster

APA Kandemir, T., Ataizi, Z. S., & Sezer, M. (2021). Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report. Eskisehir Medical Journal, 2(3), 224-227.
AMA Kandemir T, Ataizi ZS, Sezer M. Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report. Eskisehir Med J. Kasım 2021;2(3):224-227.
Chicago Kandemir, Turan, Zeki Serdar Ataizi, ve Müge Sezer. “Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report”. Eskisehir Medical Journal 2, sy. 3 (Kasım 2021): 224-27.
EndNote Kandemir T, Ataizi ZS, Sezer M (01 Kasım 2021) Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report. Eskisehir Medical Journal 2 3 224–227.
IEEE T. Kandemir, Z. S. Ataizi, ve M. Sezer, “Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report”, Eskisehir Med J, c. 2, sy. 3, ss. 224–227, 2021.
ISNAD Kandemir, Turan vd. “Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report”. Eskisehir Medical Journal 2/3 (Kasım 2021), 224-227.
JAMA Kandemir T, Ataizi ZS, Sezer M. Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report. Eskisehir Med J. 2021;2:224–227.
MLA Kandemir, Turan vd. “Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report”. Eskisehir Medical Journal, c. 2, sy. 3, 2021, ss. 224-7.
Vancouver Kandemir T, Ataizi ZS, Sezer M. Ulnar Schwannoma Causing Cubital Tunnel Syndrome: A Case Report. Eskisehir Med J. 2021;2(3):224-7.
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