Zusammenfassung
Folgender Fallbericht zeigt erstmals den Befund eines Leiomyosarkoms im Bereich des
Ellenbogens als Ursache einer proximalen sensiblen Medianusläsion. Bei unauffälliger
sensibler und motorischer Neurographie des N. medianus konnte durch fraktionierte
Medianus-SEP-Analyse der Läsionsort eingegrenzt und die Diagnose frühzeitig mittels
Bildgebung gesichert werden. Die mikrochirurgische Tumorexstirpation in toto und Neurolyse
des affizierten Nerven führte zur vollständigen Rückbildung der klinischen Symptomatik.
Abstract
We describe a leiomyosarcoma at the elbow as a cause of a proximal sensory median
nerve lesion. The location of the lesion could be established more precisely by fractionated
median nerve SEP analysis and the diagnosis was confirmed at an early stage. There
was complete regression of the clinical symptoms after complete microsurgical tumor
exstirpation and neurolysis of the affected nerve.
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Dr. med. Dirk Bahner
Klinik für Neurologie und Neurophysiologie · Klinikum Fulda
Pacelliallee 4
36043 Fulda
