Resection of a benign brachial plexus nerve sheath tumor using intraoperative electrophysiological monitoring

Keith Kwok*, Brooke Davis, Michel Kliot

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

OBJECTIVE: Benign peripheral nerve sheath tumors arising from the brachial plexus are rare. Neurosurgeons often lack the clinical and surgical experience to optimize the management of these uncommon tumors. We filmed a video depicting the surgical resection of a benign peripheral nerve sheath tumor involving the brachial plexus. METHODS: An illustrative case was used to demonstrate the proper management of a brachial plexus nerve sheath tumor including the important role of intraoperative electrophysiological neuromonitoring during tumor resection. RESULTS: Using an illustrative case, we describe a systematic approach in the evaluation and surgical management of patients with a brachial plexus nerve sheath tumor. The importance of taking a thorough clinical history, performing a thorough physical examination, applying high-resolution magnetic resonance imaging techniques to visualize the pathology, and using intraoperative electrophysiological neuromonitoring during surgical exposure and resection of the tumor are stressed. Combined with appropriate postoperative treatment, these techniques minimize the risks and increase the likelihood of achieving a good clinical outcome. CONCLUSION: Brachial plexus nerve sheath tumors are challenging mass lesions that should be evaluated and surgically resected by an experienced team of physicians to optimize clinical outcome.

Original languageEnglish (US)
Pages (from-to)ONS-316-ONS-320
JournalNeurosurgery
Volume60
Issue number4 SUPPL. 2
DOIs
StatePublished - Apr 1 2007

Keywords

  • Electrophysiological neuromonitoring
  • Magnetic resonance imaging
  • Peripheral nerve sheath tumor
  • Schwannoma
  • Surgery
  • Video

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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