Perineural spread to the brachial plexus: a focused review of proposed mechanisms and described pathologies.
Acta Neurochir (Wien)
; 162(12): 3179-3187, 2020 12.
Article
em En
| MEDLINE
| ID: mdl-32632655
ABSTRACT
BACKGROUND:
Perineural spread (PNS) is an emerging mechanism for progressive, non-traumatic brachial plexopathy. We aim to summarize the pathologies (tumor and infection) shown to have spread along or to the brachial plexus, and identify the proposed mechanisms of perineural spread.METHODS:
A focused review of the literature was performed pertaining to pathologies with identified perineural spread to the brachial plexus.RESULTS:
We summarized pathologies currently reported to have PNS in the brachial plexus and offer a structure for understanding and describing these pathologies with respect to their interaction with the peripheral nervous system.CONCLUSIONS:
Perineural spread is an underrepresented entity in the literature, especially regarding the brachial plexus. It can occur via a primary or secondary mechanism based on the anatomy, and understanding this mechanism helps to support biopsies of sacrificial nerve contributions, leading to more effective and timely treatment plans for patients.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Plexo Braquial
/
Neuropatias do Plexo Braquial
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article