Radial nerve compression by a large cephalic vein aneurysm: case report.
A 43-year-old man had weakness of the extensor muscles in the right forearm and could not extend the right wrist. The apparent disorder was caused by radial nerve compression by a large aneurysm in the cephalic vein in the antecubital fossa. Surgical resection of the aneurysm resolved the symptoms. This exceedingly rare complication of venous aneurysm is discussed. Venous aneurysm should be included in the differential diagnosis of a subcutaneous mass, and diagnosis is best made with Duplex ultrasound scanning. Surgical excision is the appropriate treatment.
Kassabian
Elie
E
Department of Cardiovascular Surgery and Transplantation, Hôpital Européen Georges Pompidou, Paris, France. eliekassabian@hotmail.com
Coppin
Thierry
T
Combes
Myriam
M
Julia
Pierre
P
Fabiani
Jean-Noel
JN
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D004576:Electromyography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology*; D020425:Radial Neuropathy / Q000175:diagnosis / Q000209:etiology*; D020127:Recovery of Function; D018570:Risk Assessment; D013350:Subclavian Vein; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014656:Vascular Surgical Procedures / Q000379:methods; D014953:Wrist / Q000503:physiopathology