Surgical strategies for peripheral nerve schwannoma based on the intraoperative neurophysiological monitoring
| Autor: | Sen Shao, Xuchen Qi, Xinwei Li, Guohua Zhong, Yinxin Zhu, Yirong Wang, Kun Wang, Jun-hui Lv, Xueying Xu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Enucleation lcsh:Surgery Retrospective cohort study lcsh:RD1-811 Nerve injury Microsurgery Surgery Peripheral Nerve Schwannoma 03 medical and health sciences 0302 clinical medicine Peripheral nerve 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology medicine.symptom business Intraoperative neurophysiological monitoring |
| Zdroj: | Laparoscopic, Endoscopic and Robotic Surgery, Vol 2, Iss 3, Pp 65-69 (2019) |
| ISSN: | 2468-9009 |
| Popis: | Objective: To present our classification for peripheral nerve schwannomas as well as explore the surgical strategies and operative management of peripheral nerve schwannomas based on the intraoperative neurophysiological monitoring (INM) technique and to decrease the risk of postoperative neurological deficits in the management of these schwannomas. Materials and methods: A retrospective study was conducted on 92 cases of peripheral nerve microsurgery performed, using the INM technique. We also made the classification for peripheral nerve schwannomas into two types according to operative findings and proceeded corresponding surgical strategies. Results: All tumors were removed completely under microscopy and INM. Three patients developed residual neurological deficits at final follow-up. There were different results about temporary (18/92, 19.6%) and permanent (3/92, 3.3%) neurological deficits. The incidence of temporary and permanent neurological deficits in type II group was significantly higher than that in type I group (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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