Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

Localized hypertrophic neuropathy, also termed intraneural perineurioma, is a rare disorder of unknown etiology that produces a slowly progressive painless focal lesion of a peripheral nerve. It is characterized histologically by concentric whorls ("onion bulbs") of epithelial membrane antigen-reactive, S-100 protein-negative perineurial cells surrounding nerve fibers. We report a radial nerve palsy in a child aged 2 years in whom the diagnosis of localized hypertrophic neuropathy was made by biopsy. Resection of the affected nerve segment and sural nerve grafting produced no useful recovery after 3 years, probably because of the long duration of denervation. When this mononeuropathy presents in early childhood, uncertainty over the time of onset can lead to difficulty in distinguishing this potentially treatable lesion from congenital and other causes of nerve palsy.

Original publication

DOI

10.1177/08830738040190010711

Type

Journal article

Journal

Journal of child neurology

Publication Date

01/2004

Volume

19

Pages

71 - 75

Addresses

Nuffield Orthopaedic Centre, Oxford, United Kingdom.

Keywords

Hand, Fingers, Muscle, Skeletal, Peripheral Nerves, Radial Nerve, Humans, Paralysis, Peripheral Nervous System Diseases, Radial Neuropathy, Diagnosis, Differential, Electromyography, Microsurgery, Follow-Up Studies, Child, Preschool, Female, Nerve Sheath Neoplasms