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Feasibility of Brachial Plexus Schwannoma Enucleation With Intraoperative Neuromonitoring.
Clin Exp Otorhinolaryngol. 2020 May; 13(2):203-208.CE

Abstract

OBJECTIVES

To evaluate the feasibility of brachial plexus schwannoma enucleation under intraoperative neuromonitoring.

METHODS

Five patients who were treated for brachial plexus schwannoma under intraoperative neuromonitoring from 2008 to 2018 were included in this retrospective review. Neuromonitoring was performed with a 100-μV event threshold of the neuromonitoring system (NIM-2 or 3) at the deltoid, biceps brachii, triceps brachii, and brachioradialis muscles. Patient characteristics, tumor size and location, intraoperative neuromonitoring findings, and postoperative function were evaluated.

RESULTS

The intraoperative neuromonitoring findings were in accordance with the preoperative assessment of the included nerve root. Three patients had no postoperative morbidity, one patient had temporary paresthesia of the forearm for 2 months, and one patient mild loss of grip strength for 1 month.

CONCLUSION

Intraoperative neuromonitoring of the arm and forearm muscles during enucleation of brachial plexus schwannoma promoted confident and successful surgery with minimal postoperative morbidity.

Authors+Show Affiliations

Department of Otorhinolaryngology-Head and Neck Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32241087

Citation

Lee, Doh Young, et al. "Feasibility of Brachial Plexus Schwannoma Enucleation With Intraoperative Neuromonitoring." Clinical and Experimental Otorhinolaryngology, vol. 13, no. 2, 2020, pp. 203-208.
Lee DY, Chi JY, Seok J, et al. Feasibility of Brachial Plexus Schwannoma Enucleation With Intraoperative Neuromonitoring. Clin Exp Otorhinolaryngol. 2020;13(2):203-208.
Lee, D. Y., Chi, J. Y., Seok, J., Han, S., Lee, M. H., Jeong, W. J., & Jung, Y. H. (2020). Feasibility of Brachial Plexus Schwannoma Enucleation With Intraoperative Neuromonitoring. Clinical and Experimental Otorhinolaryngology, 13(2), 203-208. https://doi.org/10.21053/ceo.2019.01207
Lee DY, et al. Feasibility of Brachial Plexus Schwannoma Enucleation With Intraoperative Neuromonitoring. Clin Exp Otorhinolaryngol. 2020;13(2):203-208. PubMed PMID: 32241087.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Feasibility of Brachial Plexus Schwannoma Enucleation With Intraoperative Neuromonitoring. AU - Lee,Doh Young, AU - Chi,Jeong-Yeon, AU - Seok,Jungirl, AU - Han,Sungjun, AU - Lee,Min-Hyung, AU - Jeong,Woo-Jin, AU - Jung,Young Ho, Y1 - 2020/04/04/ PY - 2019/08/05/received PY - 2019/11/08/accepted PY - 2020/4/4/pubmed PY - 2020/4/4/medline PY - 2020/4/4/entrez KW - Brachial Plexus KW - Feasibility Study KW - Neurilemmoma: Enucleation KW - Neuromonitoring KW - Schwannoma SP - 203 EP - 208 JF - Clinical and experimental otorhinolaryngology JO - Clin Exp Otorhinolaryngol VL - 13 IS - 2 N2 - OBJECTIVES: To evaluate the feasibility of brachial plexus schwannoma enucleation under intraoperative neuromonitoring. METHODS: Five patients who were treated for brachial plexus schwannoma under intraoperative neuromonitoring from 2008 to 2018 were included in this retrospective review. Neuromonitoring was performed with a 100-μV event threshold of the neuromonitoring system (NIM-2 or 3) at the deltoid, biceps brachii, triceps brachii, and brachioradialis muscles. Patient characteristics, tumor size and location, intraoperative neuromonitoring findings, and postoperative function were evaluated. RESULTS: The intraoperative neuromonitoring findings were in accordance with the preoperative assessment of the included nerve root. Three patients had no postoperative morbidity, one patient had temporary paresthesia of the forearm for 2 months, and one patient mild loss of grip strength for 1 month. CONCLUSION: Intraoperative neuromonitoring of the arm and forearm muscles during enucleation of brachial plexus schwannoma promoted confident and successful surgery with minimal postoperative morbidity. SN - 1976-8710 UR - https://www.unboundmedicine.com/medline/citation/32241087/Feasibility_of_Brachial_Plexus_Schwannoma_Enucleation_With_Intraoperative_Neuromonitoring L2 - http://e-ceo.org/DOIx.php?id=10.21053/ceo.2019.01207 DB - PRIME DP - Unbound Medicine ER -
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