Tumor-like disorder of the brachial plexus region in a patient with hemophilia:A case report  

作　　者：En-Qi Guo Xiao-Dong Yang Hong-Rui Lu 

机构地区：[1]Center for Plastic and Reconstructive Surgery,Department of Hand and Reconstructive Surgery,Zhejiang Provincial People’s Hospital,Affiliated People's Hospital,Hangzhou Medical College,Hangzhou 310014,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2022年第17期5910-5915,共6页世界临床病例杂志

基　　金：Supported by the Foundation of Science and Technology Department of Zhejiang Province,No.LGF19H060010;the Foundation of Health and Family Planning Commission of Zhejiang Province,No.2021KY445.

摘　　要：BACKGROUND Various tumors and tumor-like disorders,originating from the neural sheath,as well as other types,may affect the brachial plexus region.Due to the infrequent presentation,brachial plexus palsy caused by spontaneous hematoma in patients with hemophilia might miss the treatment by early surgical decompression and progress to permanent nerve damage.CASE SUMMARY The case reported here was a 30-year-old man with hemophilia,as well as both sensory and motor dysfunction of the left upper extremity.A presumptive diagnosis of brachial plexus tumor was initially made,which was subsequently confirmed to be an organized chronic hematoma rather than a neoplasm.The hemophilia-induced expanding hematoma compressing the brachial plexus was considered to be the main reason for the patient’s complaints.The clinical symptoms were alleviated and the involved nerves partially recovered at a follow-up of 1 year.CONCLUSION Early surgical intervention is crucial and it seems to be an essential precondition for recovery of nerve function in brachial plexus lesions.

关 键 词：Brachial plexus lesions HEMATOMA HEMOPHILIA Surgical intervention Case report 

分 类 号：R554.1[医药卫生—血液循环系统疾病] R739.43[医药卫生—内科学]