Transarticular repair of the brachial plexus. Case report.
This paper illustrates the repair of a complex and unusually placed iatrogenic injury of the brachial plexus. The authors present the case of a 36-year old woman, musician (piano solista), with a dumbbell tumour of the brachial plexus. A general surgeon performed a gross total removal of the tumour, cutting it flush with the exit of the neuroforamen and this resulted in a severe upper brachial plexus injury. Four months later, the brachial plexus was repaired with a nerve graft, using a double extraforaminal and preforaminal approach via the transarticular route. The surgical procedure proved to be effective and without significant consequences for the patient.
Ferraresi
S
S
Department of Neurosurgery, S. Maria della Misericordia Hospital, Rovigo, Italy. nchro@libero.it
Garozzo
D
D
Raimondi
P
P
Buffatti
P
P
D000328:Adult; D001917:Brachial Plexus / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D002574:Cervical Vertebrae / Q000601:surgery; D005260:Female; D006801:Humans; D016067:Nerve Transfer / Q000379:methods*; D009455:Neurofibroma / Q000175:diagnosis / Q000601:surgery*; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*