- 期刊
Neurofibroma of Ulnar Nerve Manifested as Tardy Ulnar Palsy: A Case Report
以尺神經壓迫表現之神經纖維瘤：病例報告
摘要
尺神經壓迫為上肢常見疾病之一。尺神經壓迫之病因包括：神經受外物壓迫、外傷後遺症及腫瘤因素。在此，我們報告一例以尺神經壓迫表現之神經纖維瘤之病例。此病例於傳統保守療法失敗後改用外科手術切除部份腫瘤，由於病徵持續表現，三個月後，我們施予完全尺神經切除並以腓神經移植之患處。腫瘤不幸於第二次術後九個月再度復發。在此，我們強調對於此種罕見腫瘤之治療，應使用廣泛性切除手術為宜。
關鍵字
無資料並列摘要
Tardy ulnar palsy is a common disease of the upper extremities. The common etiologies of tardy ulnar palsy include impingement and constriction, traumatic sequel and neoplasms. We report one rare case of tardy ulnar palsy caused by neurofibroma of the ulnar nervie. Initally, excision of main mass was performed after failure of conservative treatment. Because of persistent postoperative phantom pain, total excision of ulnar nerve and sural nerve grafting were performed three months later. However, local recurrence was noted nine months after the second operation. We emphasize the importance of wide resection in this rare disease category.
延伸閱讀
- Tsao, T. Y., Tseng, H. H., Shih, C. M., Nieh, S., & Tu, Y. C. (1991). 惡性神經髓鞘瘤合併橫紋肌胚瘤分化（惡性蠑螈瘤）：病例報告及文獻覆閱. Journal of Medical Sciences, 11(5), 389-399. https://www.airitilibrary.com/Article/Detail?DocID=10114564-199110-201307260006-201307260006-389-399
- Chen, J. S., Hwang, Y. F., Lee, P. Y., Ku, M. C., & Hwang, M. H. (2007). 硬脊膜外脂肪腫瘤表徵和脊椎神經壓迫：兩病例報告. Journal of Orthopaedic Surgery Taiwan, 24(2), 47-50. https://www.airitilibrary.com/Article/Detail?DocID=10116923-200706-24-2-47-50-a
- Chiang, B. L., Lin, D. T., Su, I. J., & Lin, K. S. (1987). 周圍神經上皮瘤一病例報告. Acta Paediatrica Sinica, 28(1), 35-39. https://www.airitilibrary.com/Article/Detail?DocID=00016578-198702-28-1-35-39-a
- Li, J. C., Wang, H. C., Lu, J. Y., Chu, K. A., & Wang, J. S. (2004). 胸廓內迷走神經之神經鞘瘤：二病例報告. 胸腔醫學, 19(3), 224-229. https://doi.org/10.29806/TM.200406.0009
- 江雅雯（2014）。神經纖維瘤第一型神經激活表現變化之探討〔碩士論文，國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2014.10493