Rettenbacher Thomas, Sögner Peter, Springer Peter, Fiegl Michael, Hussl Heribert, zur Nedden Dieter
Department of Radiology II, University Hospital Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria.
Eur Radiol. 2003 Aug;13(8):1872-5. doi: 10.1007/s00330-002-1680-z. Epub 2002 Oct 26.
Primary brachial plexus tumors are rare, usually benign, and in general have a good prognosis after surgical excision. We present a case of a schwannoma in which sonography enabled the correct diagnosis of a probably benign brachial plexus tumor. Key to the diagnosis was the demonstration of a smooth-bordered, longish, and well-defined nodule along a brachial plexus nerve root. Cross-sectional imaging modalities that provide a high degree of soft tissue contrast and spatial resolution, such as sonography and MR imaging, were suitable methods to establish the correct preoperative diagnosis. Findings at CT, sonography, MR imaging, and surgery are discussed.
原发性臂丛神经肿瘤罕见,通常为良性,一般手术切除后预后良好。我们报告一例神经鞘瘤病例,超声检查正确诊断了可能为良性的臂丛神经肿瘤。诊断的关键在于沿臂丛神经根发现一个边界光滑、呈长条状且边界清晰的结节。能提供高度软组织对比度和空间分辨率的横断面成像方式,如超声和磁共振成像,是术前正确诊断的合适方法。本文讨论了CT、超声、磁共振成像及手术的检查结果。