Tumors of the brachial plexus

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✓Tumors of the brachial plexus are relatively rare and present a clinical challenge for the neurosurgeon. The management of these tumors therefore requires not only an understanding of the complex anatomy of the brachial plexus but also an appreciation of the appropriate surgical approach to the various tumors that may be encountered. Over a 30-year period (1969–1999), 226 patients with brachial plexus tumors were evaluated and surgically treated by the senior authors (R.L.T., D.G.K.). In the present paper they review the most common benign and malignant brachial plexus tumors and discuss management and surgical principles established through their experience at the Louisiana State University Health Sciences Center.

Abbreviations used in this paper:LHN = localized hypertrophic neuropathy; LSUHSC = Louisiana State University Health Sciences Center; NAP = nerve action potential; NF1 = neuro-fibromatosis Type 1; PNST = peripheral nerve sheath tumor; PNNSNT = peripheral non–neural sheath nerve tumor.

✓Tumors of the brachial plexus are relatively rare and present a clinical challenge for the neurosurgeon. The management of these tumors therefore requires not only an understanding of the complex anatomy of the brachial plexus but also an appreciation of the appropriate surgical approach to the various tumors that may be encountered. Over a 30-year period (1969–1999), 226 patients with brachial plexus tumors were evaluated and surgically treated by the senior authors (R.L.T., D.G.K.). In the present paper they review the most common benign and malignant brachial plexus tumors and discuss management and surgical principles established through their experience at the Louisiana State University Health Sciences Center.

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Article Information

Address reprint requests to: Sunit Das, M.D., Ph.D., 676 North St. Clair Street, Suite 2210, Chicago, Illinois 60611. email: s-das@md.northwestern.edu.

Current address for Dr. Tiel: Department of Neurosurgery, University of Mississippi, Jackson, Mississippi.

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