Ferraresi S, Garozzo D, Raimondi P, Buffatti P
Department of Neurosurgery, S. Maria della Misericordia Hospital, Rovigo, Italy.
J Neurosurg Sci. 2006 Jun;50(2):45-8.
This paper illustrates the repair of a complex and unusually placed iatrogenic injury of the brachial plexus. The authors present the case of a 36-year old woman, musician (piano solista), with a dumbbell tumour of the brachial plexus. A general surgeon performed a gross total removal of the tumour, cutting it flush with the exit of the neuroforamen and this resulted in a severe upper brachial plexus injury. Four months later, the brachial plexus was repaired with a nerve graft, using a double extraforaminal and preforaminal approach via the transarticular route. The surgical procedure proved to be effective and without significant consequences for the patient.
