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Journal of Neurosurgical Sciences 2006 June;50(2):45-8

language: English

Transarticular repair of the brachial plexus. Case report

Ferraresi S. 1, Garozzo D. 1, Raimondi P. 2, Buffatti P. 1

1 Department of Neurosurgery S.Maria della Misericordia Hospital, Rovigo, Italy
2 Nursing Home of Castellanza, Milan, Italy


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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.

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