Microscopic Decompression of Digital Nerve Surrounded by Hemangioma: A Case Report

Ko,  Jun Gul; Kim,  Jun Hyeok; Rha,  Eun Young; Lee,  Jun Yong; Yoo,  Gyeol; Baek,  Sang Oon

doi:2018.23.4.301

Arch Hand Microsurg > Volume 23(4); 2018 > Article

Case Report

Archives of Hand and Microsurgery 2018;23(4):301-305.
Published online December 1, 2018.
DOI: https://doi.org/10.12790/ahm.2018.23.4.301

Microscopic Decompression of Digital Nerve Surrounded by Hemangioma: A Case Report

Jun Gul Ko, Jun Hyeok Kim, Eun Young Rha, Jun Yong Lee, Gyeol Yoo, Sang Oon Baek

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. sbaek@catholic.ac.kr

Received: 12 September 2018 • Revised: 25 September 2018 • Accepted: 26 September 2018

Abstract

Hemangiomas are benign neoplasms of endothelial cells origin, rarely found in hand region. Authors report a 62-year-old female with capillary hemangioma of right index finger causing a neuropathic symptom via nerve compression. A space-occupying vascular lesion surrounding the radial digital nerve was revealed in magnetic resonance imaging (MRI), which was removed under microscopic assist. The digital nerve was decompressed consequently. The mass was firmly attached to both the digital nerve and digital artery, requiring a meticulous microscopic dissection to preserve the nerve and artery. Compression neuropathy caused by space-occupying lesions is rare and its diagnosis is often difficult. A microscopic surgical approach can be used to successfully relieve neuropathic pain after proper diagnosis established by diagnostic tools such as MRI as in this case.

Key Words: Microvascular decompression surgery, Hemangioma, Finger