Intraoperative neuromonitoring in thoracoscopic excision of brachial plexus schwannoma

Mediastinal schwannoma arising from brachial plexus are rare, but their surgical treatment could be challenging with a minimally invasive approach, given their position. Furthermore, their proximity to brachial plexus nerve fibres raises the risk for postoperative upper limb deficits. A 72-year-old...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2022-01, Vol.34 (1), p.156-158
Main Authors: Femia, Federico, Junemann, Carola, Ruffini, Enrico, Guerrera, Francesco
Format: Article
Language:English
Subjects:
Aged
Brachial Plexus - surgery
Case Reports
Humans
Male
Mediastinal Neoplasms - diagnostic imaging
Mediastinal Neoplasms - surgery
Neurilemmoma - diagnostic imaging
Neurilemmoma - surgery
Thoracic Surgery, Video-Assisted
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Summary:Mediastinal schwannoma arising from brachial plexus are rare, but their surgical treatment could be challenging with a minimally invasive approach, given their position. Furthermore, their proximity to brachial plexus nerve fibres raises the risk for postoperative upper limb deficits. A 72-year-old man presented mediastinal schwannoma arising from the T1 nerve root. Complete surgical excision was achieved via video-assisted thoracic surgery with the aid of intraoperative neuromonitoring, and no postoperative neurological deficit developed after the intervention. Using intraoperative neuromonitoring, radical minimally invasive surgical treatment can be safely achieved for mediastinal schwannoma arising from brachial plexus.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivab206