Chouhan D, Ansari MT, Goyal D, Mridha AR. Unilateral carpal tunnel syndrome: an unusual presentation of nodular fasciitis.
BMJ Case Rep 2020;
13:13/11/e236142. [PMID:
33257360 PMCID:
PMC7705373 DOI:
10.1136/bcr-2020-236142]
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Abstract
Nodular fasciitis is a benign, self-limiting proliferative disorder of fibroblast of uncertain aetiology, occurs frequently in the forearm. Nodular fasciitis in hand inducing carpal tunnel syndrome is exceptional. There are four cases of non-intraneural nodular fasciitis causing peripheral neuropathy that has been reported previously. We present the case of a 38-year-old man with features of unilateral carpal tunnel syndrome. Decompression of the median nerve performed subsequently along with excision of the lesion in a piecemeal fashion. Histopathological and immunohistochemical findings were consistent with nodular fasciitis. There were complete resolution of symptoms and no sign of recurrence at the end of 1 year after surgery.
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