An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots

We report an unusual case of unilateral limb pseudo hypertrophy in a 21-year-old lady who developed progressive enlargement of the right calf followed by thigh in association with chronic leg pain. Magnetic resonance imaging (MRI) of the affected limb confirmed enlargement of various muscles. Electr...

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Autores principales: Netto, Archana B, Sinha, Sanjib, Taly, Arun B, Prasad, Chandrajit, Mahadevan, A, Bindu, PS, Sidhu, Ravinder J, Yasha, TC
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271631/
https://www.ncbi.nlm.nih.gov/pubmed/22346207
http://dx.doi.org/10.4103/0976-3147.91972
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author Netto, Archana B
Sinha, Sanjib
Taly, Arun B
Prasad, Chandrajit
Mahadevan, A
Bindu, PS
Sidhu, Ravinder J
Yasha, TC
author_facet Netto, Archana B
Sinha, Sanjib
Taly, Arun B
Prasad, Chandrajit
Mahadevan, A
Bindu, PS
Sidhu, Ravinder J
Yasha, TC
author_sort Netto, Archana B
collection PubMed
description We report an unusual case of unilateral limb pseudo hypertrophy in a 21-year-old lady who developed progressive enlargement of the right calf followed by thigh in association with chronic leg pain. Magnetic resonance imaging (MRI) of the affected limb confirmed enlargement of various muscles. Electromyography revealed neurogenic features consistent with S1 radiculopathy. MRI of the lumbosacral spine showed tethered cord with a lipoma infiltrating multiple sacral roots. Our case illustrates that muscular pseudo hypertrophy may follow chronic denervation as a consequence of spinal neural compressive disease. The various mechanisms postulated for this distinct condition are outlined.
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spelling pubmed-32716312012-02-15 An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots Netto, Archana B Sinha, Sanjib Taly, Arun B Prasad, Chandrajit Mahadevan, A Bindu, PS Sidhu, Ravinder J Yasha, TC J Neurosci Rural Pract Case Report We report an unusual case of unilateral limb pseudo hypertrophy in a 21-year-old lady who developed progressive enlargement of the right calf followed by thigh in association with chronic leg pain. Magnetic resonance imaging (MRI) of the affected limb confirmed enlargement of various muscles. Electromyography revealed neurogenic features consistent with S1 radiculopathy. MRI of the lumbosacral spine showed tethered cord with a lipoma infiltrating multiple sacral roots. Our case illustrates that muscular pseudo hypertrophy may follow chronic denervation as a consequence of spinal neural compressive disease. The various mechanisms postulated for this distinct condition are outlined. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3271631/ /pubmed/22346207 http://dx.doi.org/10.4103/0976-3147.91972 Text en Copyright: © Journal of Neurosciences in Rural Practice http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Netto, Archana B
Sinha, Sanjib
Taly, Arun B
Prasad, Chandrajit
Mahadevan, A
Bindu, PS
Sidhu, Ravinder J
Yasha, TC
An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_full An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_fullStr An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_full_unstemmed An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_short An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots
title_sort unusual case of unilateral limb hypertrophy: lipoma of sacral roots
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271631/
https://www.ncbi.nlm.nih.gov/pubmed/22346207
http://dx.doi.org/10.4103/0976-3147.91972
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