Nerve Cable Graft Interposition in Patients with Brachial Plexus Schwannoma: Case Reports

• Published in: Journal of chest surgery Vol. 54; no. 6; pp. 535 - 538
• Main Authors: Han, Changsung, Ahn, Hyo Yeong, Kim, Yeong Dae, Lee, Chung Won
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society for Thoracic and Cardiovascular Surgery 05.12.2021; Korean Society for Thoracic & Cardiovascular Surgery; 대한흉부외과학회
• Subjects: brachial plexus; Case Report; nerve transfer; schwannoma; 흉부외과학; Case report; Nerve transfer; Brachial plexus; Schwannoma
• ISSN: 2765-1606; 2765-1614
• DOI: 10.5090/jcs.21.038

Schwannomas are rare benign tumors that develop in Schwann cells lining peripheral nerves. Schwannomas of the brachial plexus are especially rare, accounting for 5% of all cases. Although several treatments can be considered, the exact method of treatment is unclear owing to the scarcity and sporadic occurrence of schwannomas. Tumor resection is performed in most cases, and nerve damage is inevitable in cases of neuroinvasive schwannoma. In this case series, we present our successful use of transposition of cable-grafted nerves for the treatment of schwannomas. We performed cable-grafted nerve interposition in addition to tumor resection, leading to increased recovery of nerve damage. To relieve postoperative symptoms and minimize sequelae, precise surgical tumor resection followed by nerve interposition using a cable-grafted nerve may be recommended.