Brachial Plexus Schwannoma: Case Report and Literature Review
Schwannomas are mostly benign and solitary tumors that originate from Schwann cells. Macroscopically, they appear as rounded masses with a smooth surface. Schwannomas rarely affect the brachial plexus, accounting for approximately 5% of all cases of schwannomas, presenting a challenge for surgeons....
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2024-12-01
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| Series: | Brazilian Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1796657 |
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| author | Mateus de Sousa Rodrigues Gabriel Albuquerque Leite Cavalcante Camila Maciel Martins Coelho Victor de Paula Fonseca Déborah Emmily de Carvalho Pedro Lucas Negromonte Guerra Mayle Gomes Ferreira de Araújo Lívio Pereira de Macêdo Everton Felipe Do Vale Araujo Fernando Henrique Morais de Souza Eduardo Vieira de Carvalho Nivaldo Sena de Almeida Hildo Rocha Cirne de Azevedo Filho |
| author_facet | Mateus de Sousa Rodrigues Gabriel Albuquerque Leite Cavalcante Camila Maciel Martins Coelho Victor de Paula Fonseca Déborah Emmily de Carvalho Pedro Lucas Negromonte Guerra Mayle Gomes Ferreira de Araújo Lívio Pereira de Macêdo Everton Felipe Do Vale Araujo Fernando Henrique Morais de Souza Eduardo Vieira de Carvalho Nivaldo Sena de Almeida Hildo Rocha Cirne de Azevedo Filho |
| author_sort | Mateus de Sousa Rodrigues |
| collection | DOAJ |
| description | Schwannomas are mostly benign and solitary tumors that originate from Schwann cells. Macroscopically, they appear as rounded masses with a smooth surface. Schwannomas rarely affect the brachial plexus, accounting for approximately 5% of all cases of schwannomas, presenting a challenge for surgeons. The objective of this article is to describe a case report of a brachial plexus schwannoma in a hospital located in the Northeast of Brazil. A 49-year-old male patient presented pain resulting from the appearance of a left anterior cervical bulging with progressive growth. On physical examination, he had a Medical Research Council (MRC) score of 3 in left arm abduction and paresthesia in the left lateral forearm and arm. On magnetic resonance imaging (MRI), the lesion arises from the C4-C5 junction, measuring 5.9 × 5.4 × 5.5 cm, and the electroneuromyography showed chronic pre-ganglionic involvement of C5 to C7 bilaterally. A left cervicotomy was performed with a horizontal incision at the level of the laryngeal eminence. Brachial plexus lesions with progressive growth tend to be managed surgically. This diagnosis hypothesis should be considered in patients presenting progressive neck bulging in inspection during physical examination. This is an easy and cheap method of suspicion that can be used by health professionals. |
| format | Article |
| id | doaj-art-d8dfecdbbac2461694877ed4a2762469 |
| institution | OA Journals |
| issn | 0103-5355 2359-5922 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj-art-d8dfecdbbac2461694877ed4a27624692025-08-20T01:59:01ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222024-12-014304e360e36410.1055/s-0044-1796657Brachial Plexus Schwannoma: Case Report and Literature ReviewMateus de Sousa Rodrigues0https://orcid.org/0000-0003-4664-2351Gabriel Albuquerque Leite Cavalcante1Camila Maciel Martins Coelho2Victor de Paula Fonseca3Déborah Emmily de Carvalho4Pedro Lucas Negromonte Guerra5Mayle Gomes Ferreira de Araújo6Lívio Pereira de Macêdo7Everton Felipe Do Vale Araujo8Fernando Henrique Morais de Souza9Eduardo Vieira de Carvalho10Nivaldo Sena de Almeida11Hildo Rocha Cirne de Azevedo Filho12Department of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilSchool of Medicine, Centro Universitário de Maceió (UNIMA), Maceió, AL, BrazilDepartment of Nursing, Universidade de Pernambuco (UPE), Petrolina, PE, BrazilSchool of Medicine, Universidade de Pernambuco (UPE), Recife, PE, BrazilSchool of Medicine, Universidade de Pernambuco (UPE), Recife, PE, BrazilSchool of Medicine, Universidade Federal de Pernambuco (UFPE), Recife, PE, BrazilDepartment of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilDepartment of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilDepartment of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilDepartment of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilDepartment of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilDepartment of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilDepartment of Neurosurgery, Hospital da Restauração, Recife, PE, BrazilSchwannomas are mostly benign and solitary tumors that originate from Schwann cells. Macroscopically, they appear as rounded masses with a smooth surface. Schwannomas rarely affect the brachial plexus, accounting for approximately 5% of all cases of schwannomas, presenting a challenge for surgeons. The objective of this article is to describe a case report of a brachial plexus schwannoma in a hospital located in the Northeast of Brazil. A 49-year-old male patient presented pain resulting from the appearance of a left anterior cervical bulging with progressive growth. On physical examination, he had a Medical Research Council (MRC) score of 3 in left arm abduction and paresthesia in the left lateral forearm and arm. On magnetic resonance imaging (MRI), the lesion arises from the C4-C5 junction, measuring 5.9 × 5.4 × 5.5 cm, and the electroneuromyography showed chronic pre-ganglionic involvement of C5 to C7 bilaterally. A left cervicotomy was performed with a horizontal incision at the level of the laryngeal eminence. Brachial plexus lesions with progressive growth tend to be managed surgically. This diagnosis hypothesis should be considered in patients presenting progressive neck bulging in inspection during physical examination. This is an easy and cheap method of suspicion that can be used by health professionals.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1796657Brachial PlexusNeural Sheath TumorsSchwannomaPlexo BraquialTumores de Bainha NeuralSchwanoma |
| spellingShingle | Mateus de Sousa Rodrigues Gabriel Albuquerque Leite Cavalcante Camila Maciel Martins Coelho Victor de Paula Fonseca Déborah Emmily de Carvalho Pedro Lucas Negromonte Guerra Mayle Gomes Ferreira de Araújo Lívio Pereira de Macêdo Everton Felipe Do Vale Araujo Fernando Henrique Morais de Souza Eduardo Vieira de Carvalho Nivaldo Sena de Almeida Hildo Rocha Cirne de Azevedo Filho Brachial Plexus Schwannoma: Case Report and Literature Review Brazilian Neurosurgery Brachial Plexus Neural Sheath Tumors Schwannoma Plexo Braquial Tumores de Bainha Neural Schwanoma |
| title | Brachial Plexus Schwannoma: Case Report and Literature Review |
| title_full | Brachial Plexus Schwannoma: Case Report and Literature Review |
| title_fullStr | Brachial Plexus Schwannoma: Case Report and Literature Review |
| title_full_unstemmed | Brachial Plexus Schwannoma: Case Report and Literature Review |
| title_short | Brachial Plexus Schwannoma: Case Report and Literature Review |
| title_sort | brachial plexus schwannoma case report and literature review |
| topic | Brachial Plexus Neural Sheath Tumors Schwannoma Plexo Braquial Tumores de Bainha Neural Schwanoma |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1796657 |
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