T1-nerve root neuroma presenting with apical mass and Horner's syndrome.

ABSTRACT:

Background

The appearance of dumbbell neuroma of the first thoracic root is extremely rare. The extradural component of a T1-dumbbell neuroma may present as an apical mass. The diagnosis of hand weakness is complex and may be delayed in T1-neuroma because of absence of the palpable cervical mass. One-stage removal of a T1-root neuroma and its intrathoracic extension demanded an extended posterior midline approach in the sitting position.

Case presentation

A 51-year old man had suffered a traumatic partial tendon rupture of his wrist flexor muscles 6 years ago. Since the incident he occasionally felt fullness and tenderness in the affected forearm with some tingling in his fingers bilaterally. During the last two years the hand weakness was continuous and hypotrophy of the me

SUBMITTER: Bosnjak R 

PROVIDER: S-EPMC1831774 | biostudies-literature | 2007 Mar

REPOSITORIES: biostudies-literature