Compressive radial neuropathy by a synovial cyst during pregnancy: A clinical case report.

Abstract:

RATIONALE:Compressive radial neuropathy by a synovial cyst in the radial tunnel during pregnancy is a rare occurrence. The management of radial nerve compression caused by a synovial cyst in a pregnant patient is a surgical dilemma owing to the fetal and maternal risks of treatment. PATIENT CONCERNS AND DIAGNOSIS:A 37-year-old pregnant woman presented with progressive forearm pain at the gestational age of 12 weeks. A cyst was identified via musculoskeletal ultrasound and magnetic resonance imaging examinations in the radiocapitellar joint causing radial compressive neuropathy. INTERVENTIONS:After regional nerve block and surgical removal of the cyst, the patient's forearm pain was alleviated without neurological deficits. OUTCOME:symptoms from nerve compression were improved after surgical treatment LESSONS:: This report illustrates the case of a pregnant woman presenting a compressive neuropathy by an enlarged cyst possibly due to the unbalance of growth factors during pregnancy. With proper diagnosis and timely surgical intervention, such patients can achieve good neurologic recovery without maternal or fetal complications.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Hsiao CM,Wu CC,Wen HC

doi

10.1097/MD.0000000000013455

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

e13455

issue

49

eissn

0025-7974

issn

1536-5964

pii

00005792-201812070-00065

journal_volume

97

pub_type

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