Huang Jason H, Zaghloul Kareem, Zager Eric L
Department of Neurosurgery, Hospital of the University of Pennsylvania, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA.
Surg Neurol. 2004 Apr;61(4):372-8. doi: 10.1016/j.surneu.2003.08.006.
Brachial plexus region tumors are uncommon and often present a challenge to neurosurgeons.
Provide a brief historical overview, a description of the anatomy, and contribute information that provides management guidelines and improves surgical outcomes for tumors of the brachial plexus region. We also review different surgical approaches followed by surgical outcome from recent studies, as well as our own experience of treating 42 patients with tumors of the brachial plexus region at the University of Pennsylvania Medical Center between 1990 and 2001.
A thorough understanding of the anatomy, the clinical presentation, imaging techniques, and the various surgical approaches for brachial plexus tumor resection is necessary to ensure the best possible treatment outcome.
We conclude that with proper patient selection and appropriate perioperative and intraoperative management, neurologic deficits from brachial plexus tumor surgery can be minimized.
臂丛神经区域肿瘤并不常见,常给神经外科医生带来挑战。
提供简要的历史概述、解剖学描述,并提供有助于制定臂丛神经区域肿瘤管理指南及改善手术效果的信息。我们还回顾了不同的手术方法以及近期研究的手术结果,以及我们自己在1990年至2001年期间于宾夕法尼亚大学医学中心治疗42例臂丛神经区域肿瘤患者的经验。
全面了解臂丛神经肿瘤切除的解剖学、临床表现、成像技术及各种手术方法对于确保获得最佳治疗效果至关重要。
我们得出结论,通过适当的患者选择以及合适的围手术期和术中管理,臂丛神经肿瘤手术导致的神经功能缺损可降至最低。