Resection of the median nerve without sequelae (resection of 15 cm due to neurofibroma).
A case of neurofibroma of the median nerve at the wrist is reported. An operation to resect 15 cm of the nerve was performed; no transplant was substituted. No motor or sensory paralysis was noted, either directly after the operation or at follow up after nine years. Injection of procaine into the ulnar nerve at the epitrochlear groove demonstrated complete compensation, by means of anastomoses between the two nerves at the upper third of the forearm. It is assumed that the type of lesion (circumscribed neurofibromatosis) beginning in infancy or childhood, had some influence in giving rise to this substitution.
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D009455:Neurofibroma / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D010524:Peripheral Nervous System Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*