Brachial Plexus Schwannoma: Case Report and Literature Review

Abstract: Schwannomas are mostly benign and solitary tumors that originate from Schwann cells. Macroscopically, they appear as rounded masses with a smooth surface. Schwannomas rarely affect the brachial plexus, accounting for approximately 5% of all cases of schwannomas, presenting a challenge for surgeons. The objective of this article is to describe a case report of a brachial plexus schwannoma in a hospital located in the Northeast of Brazil. A 49-year-old male patient presented pain resulting from the appearance of a left anterior cervical bulging with progressive growth. On physical examination, he had a Medical Research Council (MRC) score of 3 in left arm abduction and paresthesia in the left lateral forearm and arm. On magnetic resonance imaging (MRI), the lesion arises from the C4-C5 junction, measuring 5.9 × 5.4 × 5.5 cm, and the electroneuromyography showed chronic pre-ganglionic involvement of C5 to C7 bilaterally. A left cervicotomy was performed with a horizontal incision at the level of the laryngeal eminence. Brachial plexus lesions with progressive growth tend to be managed surgically. This diagnosis hypothesis should be considered in patients presenting progressive neck bulging in inspection during physical examination. This is an easy and cheap method of suspicion that can be used by health professionals.

Alternative title
Schwannoma do Plexo Braquial: Relato de Caso e revisão da literatura
Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Brachial Plexus Schwannoma: Case Report and Literature Review ; volume:43 ; number:04 ; year:2024 ; pages:e360-e364
Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery ; 43, Heft 04 (2024), e360-e364

Contributor
Rodrigues, Mateus de Sousa
Cavalcante, Gabriel Albuquerque Leite
Coelho, Camila Maciel Martins
Fonseca, Victor de Paula
Carvalho, Déborah Emmily de
Guerra, Pedro Lucas Negromonte
Araújo, Mayle Gomes Ferreira de
Macêdo, Lívio Pereira de
Araujo, Everton Felipe Do Vale
Souza, Fernando Henrique Morais de
Carvalho, Eduardo Vieira de
Almeida, Nivaldo Sena de
Filho, Hildo Rocha Cirne de Azevedo

DOI
10.1055/s-0044-1796657
URN
urn:nbn:de:101:1-2502061010365.677786470754
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:30 AM CEST

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Associated

  • Rodrigues, Mateus de Sousa
  • Cavalcante, Gabriel Albuquerque Leite
  • Coelho, Camila Maciel Martins
  • Fonseca, Victor de Paula
  • Carvalho, Déborah Emmily de
  • Guerra, Pedro Lucas Negromonte
  • Araújo, Mayle Gomes Ferreira de
  • Macêdo, Lívio Pereira de
  • Araujo, Everton Felipe Do Vale
  • Souza, Fernando Henrique Morais de
  • Carvalho, Eduardo Vieira de
  • Almeida, Nivaldo Sena de
  • Filho, Hildo Rocha Cirne de Azevedo

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