Intraoperative monitoring of an unusual brachial plexus tumor
This case illustrates the importance of intraoperative monitoring of neuronal function to help separate tumor tissue from neural tissue in a 54-year-old patient with left shoulder pain resulting from a desmoid tumor. Preoperative nerve conduction and electromyographic studies showed a lesion in the...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 1992-03, Vol.73 (3), p.297-299 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | PRESS, J. M RAYNER, S. L PHILIP, M MONGA, T. N KATZ, R. T |
| description | This case illustrates the importance of intraoperative monitoring of neuronal function to help separate tumor tissue from neural tissue in a 54-year-old patient with left shoulder pain resulting from a desmoid tumor. Preoperative nerve conduction and electromyographic studies showed a lesion in the lateral cord of the brachial plexus, which was found to be intimately involved with the tumor mass and was splayed into a very thin effaced sheet of neural tissue. Stimulation of the tumor/nerve tissue mass proximal to the lesion was impossible due to the invasion of the brachial plexus by the tumor. The technique that was adapted for this unusual presentation was to stimulate the tumor/nerve tissue mass itself and record compound muscle action potentials distally. With the technique described, a subtotal resection of an aggressive fibromatosis enmeshed in the proximal brachial plexus was possible, and excellent relief of pain symptoms and retention of functional capabilities of the involved extremity were achieved. |
| format | Article |
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M ; RAYNER, S. L ; PHILIP, M ; MONGA, T. N ; KATZ, R. T</creator><creatorcontrib>PRESS, J. M ; RAYNER, S. L ; PHILIP, M ; MONGA, T. N ; KATZ, R. T</creatorcontrib><description>This case illustrates the importance of intraoperative monitoring of neuronal function to help separate tumor tissue from neural tissue in a 54-year-old patient with left shoulder pain resulting from a desmoid tumor. Preoperative nerve conduction and electromyographic studies showed a lesion in the lateral cord of the brachial plexus, which was found to be intimately involved with the tumor mass and was splayed into a very thin effaced sheet of neural tissue. Stimulation of the tumor/nerve tissue mass proximal to the lesion was impossible due to the invasion of the brachial plexus by the tumor. The technique that was adapted for this unusual presentation was to stimulate the tumor/nerve tissue mass itself and record compound muscle action potentials distally. With the technique described, a subtotal resection of an aggressive fibromatosis enmeshed in the proximal brachial plexus was possible, and excellent relief of pain symptoms and retention of functional capabilities of the involved extremity were achieved.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>PMID: 1311917</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Action Potentials ; Biological and medical sciences ; Brachial Plexus - pathology ; Brachial Plexus - surgery ; Electrodiagnosis ; Electromyography ; Female ; Fibroma - diagnosis ; Fibroma - pathology ; Fibroma - surgery ; Humans ; Medical sciences ; Middle Aged ; Monitoring, Intraoperative - methods ; Neoplasms, Nerve Tissue - diagnosis ; Neoplasms, Nerve Tissue - pathology ; Neoplasms, Nerve Tissue - surgery ; Neurology ; Tumors of the nervous system. 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T</creatorcontrib><title>Intraoperative monitoring of an unusual brachial plexus tumor</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>This case illustrates the importance of intraoperative monitoring of neuronal function to help separate tumor tissue from neural tissue in a 54-year-old patient with left shoulder pain resulting from a desmoid tumor. Preoperative nerve conduction and electromyographic studies showed a lesion in the lateral cord of the brachial plexus, which was found to be intimately involved with the tumor mass and was splayed into a very thin effaced sheet of neural tissue. Stimulation of the tumor/nerve tissue mass proximal to the lesion was impossible due to the invasion of the brachial plexus by the tumor. The technique that was adapted for this unusual presentation was to stimulate the tumor/nerve tissue mass itself and record compound muscle action potentials distally. With the technique described, a subtotal resection of an aggressive fibromatosis enmeshed in the proximal brachial plexus was possible, and excellent relief of pain symptoms and retention of functional capabilities of the involved extremity were achieved.</description><subject>Action Potentials</subject><subject>Biological and medical sciences</subject><subject>Brachial Plexus - pathology</subject><subject>Brachial Plexus - surgery</subject><subject>Electrodiagnosis</subject><subject>Electromyography</subject><subject>Female</subject><subject>Fibroma - diagnosis</subject><subject>Fibroma - pathology</subject><subject>Fibroma - surgery</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monitoring, Intraoperative - methods</subject><subject>Neoplasms, Nerve Tissue - diagnosis</subject><subject>Neoplasms, Nerve Tissue - pathology</subject><subject>Neoplasms, Nerve Tissue - surgery</subject><subject>Neurology</subject><subject>Tumors of the nervous system. Phacomatoses</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAYhIMo67r6E4QexFuhydt8HTzI4sfCghcFb-XdNNFIm9akEf33rli8epoZ5mEOc0CWlAMrFaPPh2RZVRWUWms4Jicpve2j4EAXZEGBUk3lklxtwhRxGG3EyX_Yoh-Cn4bow0sxuAJDkUNOGbtiF9G8-r0ZO_uZUzHlfoin5Mhhl-zZrCvydHvzuL4vtw93m_X1thyZEFOpKDJBmdi51iktdWUMKsGZUQ6d5qrVVjrLaK0Z6hYsQqUQkCkGKDWlsCKXv7tjHN6zTVPT-2Rs12GwQ06NZAo41OJfkCpZQ81-wPMZzLvets0YfY_xq5mP2fcXc4_JYOciBuPTH8aZ5JzW8A2oXmxk</recordid><startdate>19920301</startdate><enddate>19920301</enddate><creator>PRESS, J. M</creator><creator>RAYNER, S. L</creator><creator>PHILIP, M</creator><creator>MONGA, T. N</creator><creator>KATZ, R. T</creator><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>19920301</creationdate><title>Intraoperative monitoring of an unusual brachial plexus tumor</title><author>PRESS, J. M ; RAYNER, S. L ; PHILIP, M ; MONGA, T. N ; KATZ, R. T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-81a26126bfdf89790cca8652c8faf958d9e7fe21492a9d3ea308a3a2823a79113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Action Potentials</topic><topic>Biological and medical sciences</topic><topic>Brachial Plexus - pathology</topic><topic>Brachial Plexus - surgery</topic><topic>Electrodiagnosis</topic><topic>Electromyography</topic><topic>Female</topic><topic>Fibroma - diagnosis</topic><topic>Fibroma - pathology</topic><topic>Fibroma - surgery</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monitoring, Intraoperative - methods</topic><topic>Neoplasms, Nerve Tissue - diagnosis</topic><topic>Neoplasms, Nerve Tissue - pathology</topic><topic>Neoplasms, Nerve Tissue - surgery</topic><topic>Neurology</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>PRESS, J. M</creatorcontrib><creatorcontrib>RAYNER, S. L</creatorcontrib><creatorcontrib>PHILIP, M</creatorcontrib><creatorcontrib>MONGA, T. N</creatorcontrib><creatorcontrib>KATZ, R. T</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>PRESS, J. M</au><au>RAYNER, S. L</au><au>PHILIP, M</au><au>MONGA, T. N</au><au>KATZ, R. T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative monitoring of an unusual brachial plexus tumor</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>1992-03-01</date><risdate>1992</risdate><volume>73</volume><issue>3</issue><spage>297</spage><epage>299</epage><pages>297-299</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>This case illustrates the importance of intraoperative monitoring of neuronal function to help separate tumor tissue from neural tissue in a 54-year-old patient with left shoulder pain resulting from a desmoid tumor. Preoperative nerve conduction and electromyographic studies showed a lesion in the lateral cord of the brachial plexus, which was found to be intimately involved with the tumor mass and was splayed into a very thin effaced sheet of neural tissue. Stimulation of the tumor/nerve tissue mass proximal to the lesion was impossible due to the invasion of the brachial plexus by the tumor. The technique that was adapted for this unusual presentation was to stimulate the tumor/nerve tissue mass itself and record compound muscle action potentials distally. With the technique described, a subtotal resection of an aggressive fibromatosis enmeshed in the proximal brachial plexus was possible, and excellent relief of pain symptoms and retention of functional capabilities of the involved extremity were achieved.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>1311917</pmid><tpages>3</tpages></addata></record> |
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| ispartof | Archives of physical medicine and rehabilitation, 1992-03, Vol.73 (3), p.297-299 |
| issn | 0003-9993 1532-821X |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Action Potentials Biological and medical sciences Brachial Plexus - pathology Brachial Plexus - surgery Electrodiagnosis Electromyography Female Fibroma - diagnosis Fibroma - pathology Fibroma - surgery Humans Medical sciences Middle Aged Monitoring, Intraoperative - methods Neoplasms, Nerve Tissue - diagnosis Neoplasms, Nerve Tissue - pathology Neoplasms, Nerve Tissue - surgery Neurology Tumors of the nervous system. Phacomatoses |
| title | Intraoperative monitoring of an unusual brachial plexus tumor |
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