Abstract

Mediastinal schwannoma arising from brachial plexus are rare, but their surgical treatment could be challenging with a minimally invasive approach, given their position. Furthermore, their proximity to brachial plexus nerve fibres raises the risk for postoperative upper limb deficits. A 72-year-old man presented mediastinal schwannoma arising from the T1 nerve root. Complete surgical excision was achieved via video-assisted thoracic surgery with the aid of intraoperative neuromonitoring, and no postoperative neurological deficit developed after the intervention. Using intraoperative neuromonitoring, radical minimally invasive surgical treatment can be safely achieved for mediastinal schwannoma arising from brachial plexus.

中文翻译：

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胸腔镜下臂丛神经鞘瘤切除术中神经监测

摘要

由臂丛神经引起的纵隔神经鞘瘤很少见，但考虑到它们的位置，采用微创方法进行手术治疗可能具有挑战性。此外，它们靠近臂丛神经纤维会增加术后上肢功能障碍的风险。一名 72 岁男性出现纵隔神经鞘瘤，起源于 T1 神经根。在术中神经监测的帮助下，通过电视胸腔镜手术实现了完全的手术切除，干预后未出现术后神经功能缺损。使用术中神经监测，可以安全地对臂丛神经纵隔神经鞘瘤进行根治性微创手术治疗。