![]() Neurothekeoma of the peripheral nervous system represents aīizarre, unclear pathological entity. TheĪs far as we know, this is the first report documenting a sleeve-shaped neurothekeoma Portion of the lesion was performed under neurophysiological monitoring. Proximally and distally to the enlarged segment. Osteoligamentous structures until a complete nerve decompression was obtained Total excision, the nerve was then dissected free from the surrounding Without any clear-cut cleavage plane from the nerve ( Figure 1). In particular, a 2-cm-long localized swelling of the nerve was noticed, Surprisingly, no severe bony or ligament compression wasįound, but the ulnar nerve enfolded by a poorly cleavable and thick sleeve-shaped Ligament, monopolar stimulation was directly delivered on the partially openedĬubital tunnel, aimed at identifying the ulnar nerve and recording baseline compound ![]() After opening the fascia of flexor carpi ulnaris muscle and Osborne’s 15 A curvilinear skin incision anterior to the medial epicondyle at the elbow With continuous free-running and stimulus-triggered electromyographic guidance, as Surgery was performed under generalĪnesthesia, based on intravenous administration of propofol 1% (induction dosage:Ģ-3 mg/kg during surgery: 0.3-0.5 mg/kg/h), and under microscopic magnification A nerve exploration with ulnarĭecompression was then proposed to the patient. Out the need for magnetic resonance imaging (MRI). ![]() Strongly suggestive of severe ulnar nerve entrapment at the cubital tunnel, ruling Stimulation of the first dorsal interosseous muscle. Was of 44.2 m/s) and with a sensory nerve action potential unexcitable after Electromyography/electroneurography (EMG/ENG)ĭocumented a severe neurophysiological damage, with an after-elbow/below-elbow nerveĬonduction velocity of 19.4 m/s (while the same parameter for the right ulnar nerve Thickening of the left ulnar nerve at the cubital tunnel, as in case of inflammatory The preoperative ultrasonographic examination showed inhomogeneous In the left ulnar territory, and initial hypomyotrophy of the remaining intrinsic Hypomyotrophy, a positive Tinel sign at the left cubital tunnel, severe hypesthesia Neurological evaluation revealed mild hypothenar and first dorsal interosseous Paresthesias involving the last 2 fingers and the hypothenar eminence of the left This 57-year-old man was admitted at our institution after a 5-month history of Lesions should be that of simple nerve decompression followed by biopsy. In case of peripheral nerve localization,Īnd when a clear cleavage plane is absent, the correct management of these The exact pathological characterization of The best of our knowledge, this is the first report of a sleeve-shaped Hypermyotrophy and intrinsic weakness of the hand. Results: Histological examination describedĪbundant myxoid stroma, with epithelioid and ring-shaped cells arranged inĬords, negative to S100 protein at immunohistochemical analysis. Nerve decompression with biopsy of the swelling portion of the lesion was Given this unexpected finding, the en bloc excision of the lesion was avoided. Sleeve-shaped tissue, which had no clear-cut cleavage plane from the nerve. Methods: Aĥ7-year-old man was admitted at our institution with clinical, ultrasonographic,Īnd electromyographic findings highly suggestive of cubital tunnel syndrome.ĭuring ulnar nerve decompression surgery, however, no bony or ligamentĬompression was noticed, but a segment of the nerve wrapped by a thick Sleeve-shaped neurothekeoma of the ulnar nerve, which was incidentallyĭiscovered during a cubital tunnel release surgery. They usually involve cutaneous or subcutaneous tissues.Īlthough originally described as myxomas deriving from nerve sheath cells, theirĮxact histological classification is still uncertain. Background: Neurothekeomas are slow-growing, well-circumscribedīenign neoplasms. Now all of a sudden it Only shows up in a totally different state and with exact name search. Is there something I could do to send signals to Google to show that I am in Matthews, NC?Ģ months ago my listing quit showing up at all unless you typed exact business name What could possibly cause my listing or Google to do this? I have been without my listing for a few months now and have NO calls coming in from it. If you search Locksmith Independence, KS it shows up on the maps. If you search Locksmith Matthews, NC my listing does not show up at all. Keep in mind the GMB is in Matthews, NC All my service areas and the actual map show the correct areas. Now if I search my business name under the auto populate I see it with Independence, KS on the listing. I pretty much do not have any traffic, views or calls now. Posted about my SAB listing a few weeks ago about not showing up in search only when you entered the exact name. ![]()
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