A Case of Tarsal Tunnel Syndrome Due to an Amyloid Tumor in a Long-Term Hemodialysis Patient.

Samoto, Nobuhiko; Akiyama, Takahiro; Nishida, Tamio; Uenoyama, Kazuhide; Murakawa, Yoshiyasu; Fujimi, Satoshi; Komota, Tetsuo

doi:10.5035/nishiseisai.40.1408

Cited by 3 publications

(8 citation statements)

References 10 publications

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“…Therefore, the effect of entrapment neuropathy on the median nerve impedes evaluation of the severity of uraemic neuropathy using the upper extremities. The lower extremities allow precise evaluation of the severity of uraemic neuropathy because they rarely develop tarsal tunnel syndrome,20 which is an entrapment neuropathy. Our nerve conduction studies of the lower extremities demonstrated the absence of changes in the tibial nerve DML, the tibial nerve MCV, the values measured by the tibial nerve F wave conduction study, the sural nerve SCV, and the medial plantar nerve SCV in the patient groups with different haemodialysis durations.…”

Section: Discussionmentioning

confidence: 99%

Electrophysiological course of uraemic neuropathy in haemodialysis patients

Ogura

Makinodan

Kubo

et al. 2001

Postgraduate Medical Journal

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The objective of this study was to confirm electrophysiologically both the presence and course of uraemic neuropathy in haemodialysis patients. Nerve conduction studies of the lower extremities were done in 70 haemodialysis patients and 20 normal volunteers. Compared with that in normal volunteers, the distal motor latency in the tibial nerve of patients was prolonged significantly (p<0.05), and the minimal F wave latency in the tibial nerve was also prolonged significantly (p<0.05). Motor conduction velocity in the tibial nerve was reduced significantly (p<0.05), and sensory nerve conduction velocity in the medial plantar nerve also was reduced significantly (p<0.05). These results suggest the presence of uraemic neuropathy in haemodialysis patients. Twenty patients were investigated by a follow up study five years later. Parameters from F wave conduction studies, which were thought to be the most useful in the evaluation of neuropathy, showed no significant diVerences between the initial and follow up trials. These observations suggest that uraemic neuropathy does not progress during haemodialysis. These results also suggest that most haemodialysis patients showed electrophysiological evidence of uraemic neuropathy, but no remarkable electrophysiological change in uraemic neuropathy during haemodialysis was recognised. (Postgrad Med J 2001;77:451-454)

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Section: Discussionmentioning

confidence: 99%

Electrophysiological course of uraemic neuropathy in haemodialysis patients

Ogura

Makinodan

Kubo

et al. 2001

Postgraduate Medical Journal

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“…16,20,24,25 Therefore, studies on the occurrence and pathological process of tarsal tunnel syndrome in dialysis patients have been difficult.…”

Section: Discussionmentioning

confidence: 99%

“…However, reports regarding tarsal tunnel syndrome among dialysis patients are very rare and mostly consist of case reports. 16,20,24,25 Therefore, studies on the occurrence and pathological process of tarsal tunnel syndrome in dialysis patients have been difficult.…”

Section: Discussionmentioning

confidence: 99%

“…7 However, reports regarding tarsal tunnel syndrome in long-term dialysis patients are very rare and only case reports exist; thus, the epidemiological and pathological characteristics of tarsal tunnel syndrome in long-term dialysis patients still are not fully understood. 16,20,24,25 The purpose of our study was to investigate tarsal tunnel syndrome arising in patients who have undergone maintenance dialysis at our facility and to evaluate the frequency of tarsal tunnel syndrome and the problems with its pathological features and diagnosis.…”

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confidence: 99%

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Tarsal Tunnel Syndrome in Hemodialysis Patients

Imai

Ikoma

Imai³

et al. 2013

Foot Ankle Int.

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“…9,10 Tarsal tunnel syndrome caused by an amyloidoma has not been reported in the English medical literature. Only one such case has been reported in the Japanese medical literature 11 in a patient with an 18-year history of haemodialysis whose amyloidoma arose from the flexor tendon sheath, compressing the medial plantar nerve. The lesion in the present case arose from the talocalcaneal joint, not the flexor tendon sheath.…”

Section: Calcaneus Talus Talusmentioning

confidence: 99%

Tarsal Tunnel Syndrome Caused by a Talocalcaneal Joint Amyloidoma in a Long-Term Haemodialysis Patient: A Case Report

Sekiya

Arai

Sugimoto

et al. 2006

J Orthop Surg (Hong Kong)

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We present a case of tarsal tunnel syndrome caused by an amyloidoma arising from the talocalcaneal joint in a 64-year-old man with a long history of haemodialysis. He presented with numbness in the medial plantar area of the right foot without any antecedent trauma. The numbness was minimal at rest but gradually worsened, causing difficulty, when walking. Paraesthesia was present on the medial sole of the right foot. A positive Tinel-like sign was noted 2.5 cm below the medial malleolus. Magnetic resonance imaging demonstrated a round lesion, 1 cm in diameter, in the calcaneus, which was hypointense on T1-weighted images and hyperintense on T2-weighted images. In addition, a mass, 1 cm in diameter with a signal isointense to that of muscle was found adjacent to the talocalcaneal joint. The medial plantar nerve was decompressed after removing a solid, 1-cm diameter mass from the talocalcaneal joint. At 6 months post surgery, the numbness had completely resolved. No recurrence was observed at the 24-month follow-up.

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A Case of Tarsal Tunnel Syndrome Due to an Amyloid Tumor in a Long-Term Hemodialysis Patient.

Cited by 3 publications

References 10 publications

Electrophysiological course of uraemic neuropathy in haemodialysis patients

Electrophysiological course of uraemic neuropathy in haemodialysis patients

Tarsal Tunnel Syndrome in Hemodialysis Patients

Tarsal Tunnel Syndrome Caused by a Talocalcaneal Joint Amyloidoma in a Long-Term Haemodialysis Patient: A Case Report

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