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40 year old male with shooting type of pain in the lower leg Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology.

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Presentation on theme: "40 year old male with shooting type of pain in the lower leg Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology."— Presentation transcript:

1 40 year old male with shooting type of pain in the lower leg Teaching NeuroImages Neurology Resident and Fellow Section © 2013 American Academy of Neurology

2 Vignette 40 year old male with shooting type of pain in the right lower leg Patient had history of penetrating trauma to medial aspect of the right lower leg 3 years back. On examination, patient had a cutaneous scar at the site of previous injury and a small nodule palpable beneath the cutaneous-scar. © 2013 American Academy of Neurology Sathya Narayanan et al.

3 © 2013 American Academy of Neurology Imaging

4 Sathya Narayanan et al. © 2013 American Academy of Neurology Imaging

5 Post traumatic neuroma in continuity of the right tibial Nerve Post-traumatic neuromas are divided into neuroma-in- continuity and end-bulb-neuroma Neuroma-in-continuity is fusiform thickening of nerve due to injury or chronic friction of intact nerve. End-bulb-neuroma occurs in completely transected nerve which is not in apposition with distal nerve Perineural-fibrosis, T2-hypointensity and absence of contrast enhancement differentiate neuroma-in-continuity from nerve-sheath- tumors. Sathya Narayanan et al. © 2013 American Academy of Neurology

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