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CC BY-NC 4.0 · Arch Plast Surg 2016; 43(04): 371-373
DOI: 10.5999/aps.2016.43.4.371
Case Report

Intraneural Venous Malformations of the Median Nerve

Sara Alicia González Porto
Department of Plastic Surgery, Hospital Universitario de A Coruña, A Coruña, Spain
,
Alba González Rodríguez
Department of Plastic Surgery, Hospital Universitario de A Coruña, A Coruña, Spain
,
José Midón Míguez
Department of Plastic Surgery, Hospital Universitario de A Coruña, A Coruña, Spain
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Venous malformations arising from the peripheral nerve are a rare type of vascular malformation. We present the first case of an intraneural venous malformation of the median nerve to be reported in a child and review the previous two cases of median nerve compression due to a venous malformation that have been reported. These cases presented with painless masses in the volar aspect of the wrist or with symptoms suggestive of carpal tunnel syndrome. Clinical suspicion should lead to the use of Doppler ultrasonography as the first-line diagnostic tool. Magnetic resonance imaging and histopathology can confirm the diagnosis, as phleboliths are pathognomonic of venous malformations. Surgical treatment appears to be the only modality capable of successfully controlling the growth of an intraneural malformation. Sclerotherapy and radiotherapy have never been used to treat this type of malformation.

Keywords

Hemangioma - Median nerve - Vascular malformation - Carpal tunnel syndrome

We would like to thank Marta Gago Pesado for reviewing the translation of the manuscript, and Rose Hernández Cancela for providing us with the histopathological images.




Publication History

Received: 19 December 2015

Accepted: 27 April 2016

Article published online:
20 April 2022

© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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