1. Successful outcome in the treatment of a rare brachial plexus schwannoma: a case report with literature review.
- Author
-
Sefo, Haso, Bečulić, Hakija, Begagić, Emir, Skomorac, Rasim, Jusić, Aldin, Salković, Naida, Mašović, Anes, and Juković-Bihorac, Fatima
- Subjects
- *
BRACHIAL plexus , *TUMORS , *SCHWANN cells , *NERVES , *SCHWANNOMAS - Abstract
Introduction: plexus brachialis is a network of nerves, which is responsible for the transmission of nerve impulses from the brain to the muscles of the upper extremities Aim: to present a very rare case of schwannoma of brachial plexus. Case report: a 29-year-old female patient was presented with a mass on the posteromedial side of the left upper arm. It was a localized mass with distal paresthesia of the upper arm, firm on palpation. MRI scan showed an expansive mass along with the medial head of the triceps brachial muscle, measuring 25x48x31mm. This mass radiologically showed as Schwannoma which affected the ulnar, radial, and musculocutaneous nerve. During resection, firstly brachial artery and vein were detached from a tumor. Musculo-cutaneal and ulnar nerves were completely separated. The radial nerve was infiltrated with a clear origin and preserved fibers were successfully dissected. Implantation of a sural graft wasn't used, because more than 50% of the radial nerve fibers were preserved. Results: postoperatively, the patient had limited dorsiflexion of the left palm. After physical treatment, the patient made full recovery. Conclusion: schwannoma is a rare tumor that can successfully be removed, and it has a very good prognosis with the possibility of full recovery from neurological deficiency. [ABSTRACT FROM AUTHOR]
- Published
- 2024