Boy 17yo with pain at anterior
brachial region both 2 sides. Clinical palpation revealed many small
subcutaneous nodules, size as a pepper nut, painful at palpation ;
and swelling neck (see chest XRays).
Ultrasound
scanning of the antebrachial areas detected many small ellypsoid
nodules along the arterial way looked like the nerve ( US 1, US
2: longitudinal scan and cross-section).
US
3, US 4 scan at the carotid detected hypoechoic mass along the
carotid sites which belong to vagus nerves 2 sites.
US
5, US 6 scan at left carotid= big size vagus nerve, hypoechoic
#1.5 cm in diameter at cross section.
MRI
of the neck and thorax= MRI 1, MRI 2: hypertrophic nodular vagus
nervi go to mediastinum.
MRI
3: lateral view of the neck; MRI 4 = cross section of vagus nerve
at the neck in relation with carotid artery.
MRI
5: hypertrophic intercostal nerve at thorax.
Biopsy of the subcutaneous nodule at forearm reported neurofibroma in microscopic result.
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