What question did this study set out to answer?

To evaluate the clinical, functional, and neurological outcomes of surgical management for primary benign neural sheath tumors involving major peripheral nerves.

September 1, 1994Journal of neurosurgery

Neural sheath tumors of major nerves

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Authors

TDThomas R. DonnerLouisiana State University RVRand M. VoorhiesTulane University DKDavid G. KlineLouisiana State University

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Implication

Retrospective study reports high functional preservation and pain relief after resecting benign nerve sheath tumors, indicating high surgical efficacy except in plexiform cases.

Key Points

To evaluate the clinical, functional, and neurological outcomes of surgical management for primary benign neural sheath tumors involving major peripheral nerves.
Reviewed 263 patients undergoing surgical intervention for 288 primary benign peripheral nerve sheath tumors over a 22-year period.
Categorized lesions into schwannomas (n=85), solitary neurofibromas without von Recklinghausen's disease (n=123), and von Recklinghausen's-associated tumors (74 fusiform, 6 plexiform).
Evaluated post-surgical motor preservation, pain resolution, and recurrence rates across surgical approaches.
Gross total removal preserved or improved motor function in 87% of schwannoma patients and 90% of solitary neurofibroma patients, yielding pain relief in 85% and 88%, respectively.
Patients with von Recklinghausen's disease who underwent complete excision of fusiform tumors demonstrated motor improvement or stability in 83% and pain relief in 74%.
All 6 patients with plexiform neurofibromas experienced postoperative symptom progression, with several incomplete resections resulting in symptomatic recurrence.

Cite This Study

Donner et al. (1994) studied this question.

synapsesocial.com/papers/6a71f0e131a3df824329e218 https://doi.org/10.3171/jns.1994.81.3.0362

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Implication

Retrospective study reports high functional preservation and pain relief after resecting benign nerve sheath tumors, indicating high surgical efficacy except in plexiform cases.

Neural sheath tumors of major nerves

Discussion

Member takes

Implication

Key Points

Cite This Study

Neural sheath tumors of major nerves

Discussion

Member takes

Implication

Key Points

Cite This Study

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