scholarly journals A Rare Case of Synovial Sarcoma Involving the Brachial Plexus, Treated with Wide Local Excision and Reconstructed with Sural Nerve Grafts

2019 ◽  
Vol 10 (3) ◽  
pp. 435-436
Author(s):  
Kuldeepsinh Pradipkumar Atodaria ◽  
Nikunj KishorkumarVithalani ◽  
Atul Gajendra Bharambe ◽  
Bharat Chandra Mishra ◽  
Keshvi Mahendrasinh Chauhan
Neurosurgery ◽  
1990 ◽  
Vol 27 (3) ◽  
pp. 403-407 ◽  
Author(s):  
Allan H. Friedman ◽  
James A. Nunley ◽  
James R. Urbaniak ◽  
Richard D. Goldner

Abstract Stretch injuries of the infraclavicular brachial plexus have a much better prognosis for spontaneous recovery than do their supraclavicular counterparts. We present three patients with stretch injuries of the infraclavicular brachial plexus who had spontaneous restoration of function in all muscles except the deltoid. Decreased shoulder abduction was a serious handicap to these individuals. At surgical exploration, each patient had an isolated, complete axillary nerve disruption at the quadrilateral space. Deltoid muscle function was restored in all three patients by repair of the axillary nerve with sural nerve grafts across the quadrilateral space.


2011 ◽  
Vol 2 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Anand Vasant Ghiya ◽  
Mrunal Nitin Ketkar ◽  
Shilpa Patankar ◽  
Sudhir Kothari

2019 ◽  
Vol 10 (01) ◽  
pp. 139-141 ◽  
Author(s):  
Pranati Pillutla ◽  
Evan Nix ◽  
Benjamin Wallace Elberso ◽  
Laszlo Nagy

ABSTRACTSevere peripheral nerve injury occasionally requires urgent nerve grafting especially with significant separation of the proximal and distal ends of the injured nerve. Proper reinnervation to provide continued sensory and motor function is essential especially in the pediatric population. These patients would suffer lifelong disability without correction, yet have significantly improved regenerative capacity with prompt and effective management, making nerve grafts an ideal choice for complete nerve transection. This case report describes the successful sural nerve cable graft reinnervation of a transected femoral nerve in a 21-month-old male. This procedure was made difficult by severe trauma to the surrounding area with laceration of the femoral artery, significant separation of the femoral nerve ends, and the compact anatomy of such a young patient.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Byung Jun Kim ◽  
Hyeonwoo Kim ◽  
Ung Sik Jin ◽  
Kyung Won Minn ◽  
Hak Chang

Background. Dermatofibrosarcoma protuberans (DFSP), a rare low-grade sarcoma of fibroblast origin, tends to extend in a finger-like fashion beyond macroscopic tumor margins. Therefore, incomplete removal and subsequent recurrence are common. This study aimed to determine the efficacy of wide local excision (WLE) for controlling local recurrence of DFSP.Methods. The medical records of 90 DFSP patients who received WLE at our hospital between June 1992 and January 2015 were retrospectively reviewed. WLE was conducted including a 3 cm (range, 1 to 5 cm) safety margin according to tumor size, location, and recurrence status. Clinical and tumor characteristics and surgical methods were evaluated for risk factor analysis and local recurrence-free survival.Results. DFSP occurred most often in patients in their 30s (30%) and on the trunk (51.1%). Five patients (5.5%) experienced local recurrence during the 43.4-month follow-up period. Recurrence was found at a mean of 10.8 months after WLE. Although no factors were significantly associated with recurrence, recurrences were more frequent in head and neck. Recurrence-free survival was 87% in 6 years and 77% in 7 years.Conclusions. WLE with adequate lateral and deep margins can effectively control local recurrence rate and is a simple and effective method to treat DFSP.


1978 ◽  
Vol 41 (8) ◽  
pp. 677-683 ◽  
Author(s):  
R Tallis ◽  
P Staniforth ◽  
T R Fisher

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