Giant Lipomatosis of the Sciatic Nerve: Unique Magnetic Resonance Imaging Findings

Ali Firat Sarp, Yeliz Pekcevik
Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society 2016, 13 (2): e20963
27679695
Lipomatosis of the nerve, also known as fibrolipomatous hamartoma, is characterized by the infiltration of the nerve by fibro-fatty tissue. The affected nerve becomes thicker, and it simulates a mass lesion. Lipomatosis usually affects the median nerve and lipomatosis of the sciatic nerve is extremely rare. Magnetic resonance imaging (MRI) is the key to diagnosis, and it is usually pathognomonic. In this report, MRI and diffusion-weighted MRI findings of a case of a giant sciatic nerve lipomatosis without macrodactyly are presented. The MRI findings are unique, and awareness of the MRI features of this rare soft tissue mass may prevent unnecessary biopsies and surgeries.

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