Intraoperative neuromonitoring in thoracoscopic excision of brachial plexus schwannoma |
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Authors: | Federico Femia Carola Junemann Enrico Ruffini Francesco Guerrera |
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Affiliation: | 1. Department of Thoracic Surgery, Azienda Ospedaliera Universitaria Città della Salute e Della Scienza di Torino, Torino, Italy;2. Department of Neuroscience “Rita Levi Montalcini”, Neurosurgery Unit, University of Torino, Torino, Italy;3. Department of Surgical Science, University of Torino, Torino, Italy |
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Abstract: | 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. |
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Keywords: | VATS Neuromonitoring Schwannoma Brachial plexus |
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