ArticleSurgical neurology international2025
A giant multinodular plexiform schwannoma of the brachial plexus: Differential diagnosis, multidisciplinary treatment, and surgical approach.
Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- A giant multinodular plexiform schwannoma of the brachial plexus: Differential diagnosis, multidisciplinary treatment, and surgical approach.Surgical neurology international · 2025Article
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7 authors.
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Abstract
Background: Plexiform schwannoma (PS) is a rare variant of schwannoma, characterized by multifascicular, intraneural, and multinodular growth. Its differential diagnosis from schwannomas, neurofibromas, and plexiform neurofibromas is essential for optimal treatment planning. Case Description: This article presents the case of a 53-year-old male who experienced stinging pain and weakness in his left hand, alongside muscle atrophy in the thenar eminence. Magnetic resonance imaging revealed a brachial plexus tumor, which was surgically resected. Histological analysis confirmed a brachial plexus schwannoma (the World Health Organization [WHO] grade I). After 3 years, the tumor recurred, leading to a two-stage surgical intervention. Histological examination identified it as a PS (the WHO grade I). Adjuvant tomotherapy achieved good long-term tumor control. Conclusion: This case highlights the difficulties in histopathological diagnosis and multidisciplinary management in achieving favorable outcomes, minimizing neurological risks.
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