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Arquivos de Neuro-Psiquiatria
On-line version ISSN 1678-4227
MARTINS, Roberto S.; SIQUEIRA, Mario G. and TEDESCO-MARCHESE, Antonio João. Symptomatic neuroma of the sural nerve a rare complication of the harvesting of the nerve for grafting: case report. Arq. Neuro-Psiquiatr. [online]. 2002, vol.60, n.3B, pp.866-868. ISSN 1678-4227. http://dx.doi.org/10.1590/S0004-282X2002000500034.
The harvesting of the sural nerve for autologous grafting usually produces symptoms of low intensity and short duration. In rare occasions that procedure may lead to the formation of a symptomatic neuroma in the proximal stump. The symptons of this complication are usually controlled by clinical treatment and the surgical procedure is left for the therapeutic failures. In this paper we present the case of a patient with a sural nerve neuroma submitted to surgical treatment by a variant of the centro-central anastomosis technique, developed for the treatment of amputation neuromas, that resulted in remission of the painful symptomatology. The different options of surgical treatment for this rare entity are discussed.
Keywords : sural nerve; neuroma; sural neuropathy; nerve surgery.