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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Jung, In-Ho (Department of Neurosurgery, Dankook University College of Medicine) Yoon, Kyeong-Wook (Department of Neurosurgery, Dankook University College of Medicine) Kim, Young-Jin (Department of Neurosurgery, Dankook University College of Medicine) Lee, Sang Koo (Department of Neurosurgery, Dankook University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제61권 제5호
발행연도
2018.1
수록면
625 - 632 (8page)

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Objective : Because the anatomical structure of the brachial plexus is very complex, surgical treatment of tumors in this region is challenging. Therefore, a lot of clinical and surgical experience is required for successful treatment; however, many neurosurgeons have difficulty accumulating this experience owing to the rarity of brachial plexus tumors. The purpose of this report is to share our surgical experience with brachial plexus tumor with other neurosurgeons. Methods : The records of 18 consecutive patients with brachial plexus tumors who underwent surgical treatment between January 2010 and December 2017 in a single institution were retrospectively reviewed. The surgical approach was determined according to the tumor location and size, and intraoperative neurophysiological monitoring (IONM) was used in most of cases to prevent iatrogenic nerve injury during surgery. In addition, to evaluate the differences in tumor characteristics according to pathologic diagnosis, the tumors were divided twice into two groups, based on two separate classifications, and statistical analysis was performed. Results : The 18 brachial plexus tumors comprised 15 (83.3%) benign peripheral nerve sheath tumors including schwannoma and neurofibroma, one (5.6%) malignant peripheral nerve sheath tumor, one (5.6%) benign tumor of non-neural sheath origin (neurogenic cyst), and one (5.6%) metastatic tumor (papillary carcinoma). The authors analyzed relationship between tumor size/location and tumor characteristic parameters such as age, size, right-left, and pathology. There were no statistically significant differences except a tendency of bigger tumor size in young age. Conclusion : For a successful surgical outcome, an appropriate surgical approach is essential, and the appropriate surgical approach is determined by the location and size of the tumor. Furthermore, applying IONM may prevent postoperative complications and it is favorable option for brachial plexus tumors surgery.
#Brachial plexus neuropathy #Nerve sheath neoplasms #Monitoring #Intraoperative

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참고문헌 (10)

참고문헌 신청
Binder DK / 2004 / Primary brachial plexus tumors: imaging, surgical, and pathological findings in 25 patients / Neurosurg Focus 16:E11 google schola Burger PC / 2002 / Surgical pathology of the nervous system and its coverings / Churchill Livingstone google schola Crutcher CL 2nd / 2017 / A modified, less invasive posterior subscapular approach to the brachial plexus: case report and technical note / Neurosurg Focus 42:E7 google schola Das S / 2007 / Tumors of the brachial plexus / Neurosurg Focus 22:E26 google schola Dubuisson AS / 1993 / Posterior subscapular approach to the brachial plexus. Report of 102 patients / J Neurosurg 79:319~330 Crossref

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