BENIGN BONE AND SOFT-TISSUE TUMORS OF THE EXTREMITIES CAUSING COMPRESSION OF NERVES

Year 2017, Volume: 80 Issue: 1, 26 - 32, 31.03.2017

Ahmet Salduz , Arda Çınar Mehmet Alp Emre Özmen Ömer Naci Ergin İbrahim Levent Eralp

https://doi.org/10.18017/iuitfd.307473

Abstract

Objective: Compression of nerves by benign bone and soft tissue
tumors comprise an uncommon cause of peripheral neuropathies. We aim to present
cases of peripheral nerve compression due to benign bone and soft tissue tumors
treated in our clinic.

Methods: We report a case series with a total of 16 patients
who were treated in our clinic between 2010 and 2015. Mean age of the patients
was 28 (2,5-55). Six of the patients had osteochondroma of the fibular head. The
remaining 10 patients had various soft tissue tumors localized at different
locations. Patients presented with pure sensory, pure motor, or mixed sensory
and motor deficits. Mean duration of follow-up was 38 (11-120) months.

Results: All patients underwent surgical excision and were
treated additionally with vitamin supplements. All patients regained function
within 1 month post-operatively. There was no recurrence at the end of the
follow-up.

Conclusions: Compression by tumors should be included in the
differential diagnosis and work-up of peripheral neuropathies. Results are
excellent with prompt diagnosis and surgical intervention.

Keywords: Benign tumors; nerve compression; neuropathies;
osteochondorma. 

Keywords

Benign tumors, nerve compression, neuropathies

SİNİR BASISI YAPAN BENİGN KEMİK VE YUMUŞAK DOKU TÜMÖRLERİ: CERRAHİ TEDAVİ SONUÇLARIMIZ VE LİTERATÜR DERLEMESİ

Abstract

Amaç: Benign kemik ve
yumuşak doku tümörlerinin oluşturduğu sinir basıları nadir bir periferik nöropati
sebebidir. Bu çalışmada kliniğimizde benign kemik ve yumuşak doku tümörü
nedeniyle oluşmuş periferik nöropatili hastalarda uyguladığımız cerrahi
tedavilerin sonuçlarını bildirmeyi amaçladık.

Hastalar ve Metod: 2010 ve 2015 yılları arasında kliniğimizde tedavi edilen benign
tümöre bağlı sinir basısı oluşmuş 16 hasta çalışmaya dahil edildi. Ortalama
yaşları 28 (2,5- 55) idi. Altı hastada fibular sinire bası yapan fibula başı
osteokondromu tespit edildi. Geriye kalan 10 hastada çeşitli yerlerde çeşitli
yumuşak doku tümöleri tespit edildi. Hastalar ilk başvuruda pür duyusal, pür
motor yada her iki nörolojik deficit ile başvurdu. Ortalama takip süremiz 38
(11-120) ay idi.

Sonuçlar: Tüm
hastalar tümörün cerrahi eksizyonu ve ek olarak vitamin takviyesi ile tedavi
edildi. Bütün hastalar ameliyat sonrası  ortalama 1 ay içerisinde motor ve
duyusal fonksiyonu geri kazandılar. Hastaların son takiplerinde nüks izlenmedi.

Çıkarımlar: Periferik
nöropati ayırıcı tanısında sinir basısı yapan tümörler unutulmamalıdır. Erken
tanı uygun cerrahi tedavi ile mükemmel sonuç elde edilebilir.

Anahtar kelimeler: Nöropati; bening tümörler; osteokondroma; sinir
basısı.

Keywords

Nöropati, bening tümörler, osteokondroma, sinir basısı

References

• 1. Allagui M, Maghrebi S, Touati B, Koubaa M, Hadhri R, Hamdi MF, Abid A. Posterior interosseous nerve syndrome due to intramuscular lipoma. European Orthopaedics and Traumatology 2014;5:75-9.
• 2. Dailiana ZH, Bougioukli S, Varitimidis S, Kontogeorgakos V, Togia E, Vlychou M, Malizos KN. Tumors and tumor-like lesions mimicking carpal tunnel syndrome. Archives of Orthopaedic and Trauma Surgery 2014;134:139-44.
• 3. El Hyaoui H, Hassoun J, Garch A, Kassimi EH, El Fatimi A. Compression of the posterior interosseous nerve by a deep lipoma. Joint Bone Spine 2014;3:265.
• 4. Fazilleau F, Williams T, Richou J, Sauleau V, Le Nen D. Median Nerve Compression in Carpal Tunnel Caused by a Giant Lipoma. Case reports in Orthopedics 2014 Article ID 654934, 5 pages.
• 5. Herskovitz S, Scelsa SN, Schaumburg HH. Focal Neuropathies: Nerve Injuries, Entrapments, and other Mononeuropathies in Peripheral neuropathies in clinical practice. Oxford University Press Oxford, City, 2010; Chepter:18, page: 312-346.
• 6. Katirji MB, Wilbourn AJ. Common peroneal mononeuropathy A clinical and electrophysiologic study of 116 lesions. Neurology 1988;38:1723.
• 7. Kohyama K, Sugiura H, Yamada K, Hyodo I, Kato H, Kamei Y. Posterior interosseous nerve palsy secondary to pigmented villonodular synovitis of the elbow: Case report and review of literature. Orthopaedics & Traumatology: Surgery & Research 2013;99: 247-25.
• 8. Martínez-Villén G, Badiola J, Alvarez-Alegret R, Mayayo E. Nerve compression syndromes of the hand and forearm associated with tumours of non-neural origin and tumour-like lesions. Journal of Plastic, Reconstructive & Aesthetic Surgery 2014;67: 828-36.
• 9. Pomeroy G, Wilton J, Anthony S. Entrapment Neuropathy About the Foot and Ankle: An Update. Journal of the American Academy of Orthopaedic Surgeons 2015;23:58-66.
• 10. Sakamoto A, Yoshida T, Mitsuyasu H, Iwamoto Y. Lipoma causing posterior interosseous nerve palsy or superficial radial nerve paraesthesia. Journal of Hand Surgery (European Volume) 2011;36:76-7. 11. Singh G, Kumar VP. Neuroanatomical basis for the tarsal tunnel syndrome. Foot & ankle international 2012;33: 513-8.
• 12. Sirrajelhak M, Fnini S, Arssi M, Garch A. [Compression of the superficial branch of the radial nerve by a synovial ganglion of the elbow (about one case and literature review)]. Chirurgie de la main 2013;32:255-7.
• 13. Wang B, Zhao Y, Lu A, Chen C. Ulnar nerve deep branch compression by a ganglion: A review of nine cases. Injury 2014;45:1126-30.
• 14. Yazid BM, Tan BC, Das S, Hassan S, Subanesh S. Compression neuropathy of the common peroneal nerve secondary to a ganglion cyst. La Clinica Terapeutica 2010;162: 549-52.