臂神經叢神經鞘瘤－病例報告

Neurilemmoma of the Brachial Plexus – Case Report

葉曜嘉(Yao-Chia Yeh) ； 林厚鈞(How-Jiun Lin)

《中華民國耳鼻喉科醫學會雜誌》 33卷1期 (1998/02) Pp. 97-101

https://doi.org/10.6286/1998.33.1.97

摘要

臂神經叢的神經鞘瘤是臨床上少見的疾病，由於位置特殊，耳鼻喉及頭頸外科的文獻也缺乏相關的診斷和治療方面的資料。我們在民國84年7月發現了1例，患者為42歲男性，主訴右側鎖骨上方有一圓形腫塊，約有6-7年之久，電腦斷層檢查為一直徑4 cm之囊腫樣病灶，經手術證實右側臂神經叢下，有一球形腫瘤與之黏連，取出一包膜良好之腫瘤，術後病理報告為神經鞘瘤。術後病人出現右上肢感覺及運動性神經障礙，經復健治療，追蹤至今1年8個月，已恢復神經功能。

關鍵字

神經鞘瘤 ； 臂神經叢

並列摘要

Neurilemomas of the brachial plexus are rare lesions and the literature of otorhinolaryngology, head and neck surgery is devoid of information concerning the diagnosis and management of these lesions. We encountered a 42 year-old male presenting with a right supraclavicular mass for 6 or 7 years in July 1995. The freely movable mass was firm and nontender. Preoperatively, a cystic lesion 4 cm in diameter was demonstrated on CT scan. During the operation, a mass beneath the brachial plexus with adhesion to the plexus elements was detected. A well capsulated mass was extirpated and it was reported as a neurilemoma by the pathologist. However, sensory and motor neurological deficits of the right upper limb were found postoperatively. Fortunately, recovery of the neurological function after rehabilitation is complete for a follow-up period of 20 months.

並列關鍵字

Neurilemmoma ； brachial plexus