Abstract

The case is presented of a 71-year-old man with a 6-year history of symptoms suggestive of carpal tunnel syndrome, which did not improve despite two surgical procedures. On further investigation, a fusiform enlargement of the median nerve was found above the elbow, which was found on biopsy to be localized hypertrophic neuropathy (LHN). This case is the first to be described affecting the median nerve. The literature regarding LHN is reviewed, with discussion of the differential diagnoses and possible etiology of this rare lesion.

Author Details

Authors

• B. Koszyca¹
• N. Jones²
• C. Kneebone³
• P. Blumbergs¹

Departments

• ¹ Hanson Institute Center for Neurological Diseases, Institute of Medical and Veterinary Science, Discipline of Pathology,
• ² Department of Neurosurgery, University of Adelaide and
• ³ Department of Neurology, Royal Adelaide Hospital, Adelaide, Australia

Address

Dr. B. Koszyca; Hanson Institute Center for Neurological Diseases, Institute of Medical and Veterinary Science, Frome Road, Adelaide, SA 5000, Australia
Email: [email protected]

Citation