Case Report

Fibrolipomatous hamartoma of the median nerve

Leon Malan, Abraham F. Bezuidenhout, Ebrahim Banderker
South African Journal of Radiology | Vol 19, No 2 | a886 | DOI: https://doi.org/10.4102/sajr.v19i2.886 | © 2015 Leon Malan, Abraham F. Bezuidenhout, Ebrahim Banderker | This work is licensed under CC Attribution 4.0
Submitted: 04 June 2015 | Published: 11 December 2015

About the author(s)

Leon Malan, Department of Radiology, Stellenbosch University, South Africa, South Africa
Abraham F. Bezuidenhout, Department of Radiology, Stellenbosch University, South Africa
Ebrahim Banderker, Department of Radiology, Stellenbosch University, South Africa


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Abstract

Fibrolipomatous hamartoma is a rare benign tumour most commonly affecting the median nerve and is characterised by fibro-fatty nerve infiltration. It results in fusiform nerve enlargement with a pathognomonic ‘spaghetti-like’ imaging appearance. Patients present with numbness and paraesthesia and later with motor deficits in the affected nerve distribution. The condition frequently coexists with macrodystrophia lipomatosa in up to two-thirds of cases.

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