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High-resolution ultrasonography and shear-wave sonoelastography of a cystic radial nerve Schwannoma

Abstract

Peripheral nerve tumors are often evaluated with magnetic resonance imaging (MRI), although there are many advantages offered with high-resolution ultrasonography (HRUS). This case report emphasizes the value of HRUS in the diagnosis and management of a patient with a cystic radial nerve Schwannoma. In addition, information on tumor stiffness, obtained with shear-wave sonoelastography (SWE), is presented.

Sommario

I tumori dei nervi periferici vengono spesso studiati con la risonanza magnetica (MRI), anche se l’ecografia ad alta risoluzione (HRUS) presenta molti vantaggi. Questo case report sottolinea il valore della HRUS nella diagnosi e nella gestione di un paziente con uno Schwannoma cistico del nervo radiale. Vengono inoltre riferite le informazioni sulla stiffness del tumore ottenute con la shear wave elastosonografia.

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Correspondence to Patrick J. Battaglia.

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Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Ethical approval

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. All ethical standards were upheld during both the imaging and surgical procedures inherent in this case.

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All patients provided written informed consent to enrollment in the study and to the inclusion in this article of information that could potentially lead to their identification. Patient informed consent was obtained prior to publication.

Electronic supplementary material

40477_2017_254_MOESM1_ESM.avi

Dynamic cine of the radial nerve in short axis moving caudally through its bifurcation demonstrates the origin of the Schwannoma to be from the deep branch of the radial nerve (AVI 108546 kb)

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Cite this article

Battaglia, P.J., Carbone-Hobbs, V., Guebert, G.M. et al. High-resolution ultrasonography and shear-wave sonoelastography of a cystic radial nerve Schwannoma. J Ultrasound 20, 261–266 (2017). https://doi.org/10.1007/s40477-017-0254-5

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Keywords

  • Schwannoma
  • Neurilemmoma
  • Diagnostic ultrasound
  • Sonoelastography