SCHWANNOMAS ARISING FROM UPPER EXTREMITIES- CLINICAL ANALYSIS OF RESULTS OF SURGICAL TREATMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 16
Abstract
BACKGROUND Schwannomas arise from the Schwann cells and are common benign neoplasms of the peripheral nerves. In our series, we present our experience of surgical treatment and analysis of results of excision of schwannomas. MATERIALS AND METHODS Clinical material consisted of 6 patients, amongst them 7 schwannomas located in the upper extremities were excised between 2014 and 2016. Five tumours had origin from major peripheral nerves and two from the small nerve branches. All the patients were treated surgically, and their results were analysed postoperatively. Symptomatic relief, early neurological deficiencies and the permanent motor deficiency was evaluated. RESULTS In the postoperative period, pain resolved in all the patients, paraesthesia in 4 and motor function in 5, partial in 1. Sensory function improved in 4 and partial in 2, which later improved completely. Median [2] and Ulnar [3] nerves were the commonly affected peripheral nerves. Small nerve branch Schwannomas were identified with the site of origin and carefully removed. Definitive healing was achieved in all the cases. CONCLUSION Schwannomas predominantly arise from ulnar and median nerves in the upper extremity. Slow growth of the tumour causes compression neuropathy of varying degrees, which is an indication for surgery. Improvement in the function of the peripheral nerve was achieved after excision of the schwannomas. The risk of development of permanent postoperative neurological deficit is very low.
Authors and Affiliations
Shivamurthy Kurudi, Akshay Kulkarni, Ashwin S. Banakar
Keywords
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- EP ID EP414638
- DOI 10.14260/jemds/2018/450
- Views 53
- Downloads 0
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