[Brachial plexus compression from supraclavicular encapsulated fat necrosis. A case report].
We report the case of a 44-year-old male, lacking clinical history of previous illness, who had surgery at our hospital to treat a mass in the supraclavicular space. The patient presented with a 1-month progressive distal paresis of the left arm. The histo-pathological examination of the mass revealed an encapsulated fat necrosis. Fat necrosis is characterised by cystic architecture, encapsulation with fat necrosis within, and inflammatory infiltration of its walls. Neural structure compression secondary to this tumour mass is very rare. Fat necrosis is more frequent in the lower limbs, in areas exposed to trauma. This article is the first report of brachial plexus compression due to supraclavicular fat necrosis.
Servicio de Neurocirugía, Hospital Regional Universitario Carlos Haya, Málaga, España. Electronic address: dr.m.dominguezpaez@gmail.com.
Miguel
M
Domínguez-Páez
Servicio de Neurocirugía, Hospital Regional Universitario Carlos Haya, Málaga, España.
Luis
L
de Miguel-Pueyo
Servicio de Anatomía Patológica, Hospital Regional Universitario Carlos Haya, Málaga, España.
Esteban José
EJ
Marín-Salido
Servicio de Neurocirugía, Hospital Regional Universitario Carlos Haya, Málaga, España.
Antonio
A
Carrasco-Brenes
Servicio de Neurocirugía, Hospital Regional Universitario Carlos Haya, Málaga, España.
Alvaro
A
Martín-Gallego
Servicio de Neurocirugía, Hospital Regional Universitario Carlos Haya, Málaga, España.
Miguel Ángel
MÁ
Arráez-Sánchez
D000328:Adult; D020516:Brachial Plexus Neuropathies / Q000209:etiology*; D002968:Clavicle; D005218:Fat Necrosis / Q000150:complications*; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000209:etiology*
Brachial plexus; Compressive neuropathy; Encapsulated fat necrosis; Necrosis grasa encapsulada; Neuropatía compresiva; Plexo braquial