Advertisement

Nerve Tumors

  • Götz Penkert
Chapter

Abstract

The entire benign space-occupying lesions – either extra- or intraneurally located – are described here. The list of tumors consist of schwannomas (neurinomas), neurofibromas, plexiform neurofibromas, perineurioma, nerve sheath myxoma (neurothekeoma), haemangioma, fibrolipoma, and ganglia, whereby the latter ones can occur as extraneural or intraneural manifestations. Intraneural ganglion cysts are often manifested multiply within a special nerve segment. The importance and value of modern imaging concerning this kind of focal nerve lesion has of course to be outlined. Surgical aspects with regard to each tumor type are stressed as far as experience allows. The special difficulties that plexiform neurofibromas and perineuriomas present have to be pointed out if one is to consider surgical treatment. Concerning surgery of ganglion cysts, the importance of identifying and ligating a communication to the neighbouring joint is demonstrated and reinforced by specialist literature.

Keywords

Carpal Tunnel Syndrome Nerve Trunk Ganglion Cyst Nerve Segment Plexiform Neurofibroma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Rodriguez FJ, Folpe AL, Giannini C, Perry A. Pathology of peripheral nerve sheath tumors: diagnostic overview and update on selected diagnostic problems. Acta Neuropathol. 2012;123(3):295–319.PubMedCentralPubMedCrossRefGoogle Scholar
  2. 2.
    Donner TR, Voorhies RM, Kline DG. Neural sheath tumors of major nerves. J Neurosurg. 1994;81:362–73.PubMedCrossRefGoogle Scholar
  3. 3.
    Lusk MD, Kline DG, Garcia CA. Tumors of the brachial plexus. Neurosurgery. 1987;21(4):439–53.PubMedCrossRefGoogle Scholar
  4. 4.
    Gruen JP, Mitchell W, Kline DG. Resection and graft repair for localized hypertrophic neuropathy. Neurosurgery. 1998;43:78–83.PubMedCrossRefGoogle Scholar
  5. 5.
    Spinner RJ, Atkinson JLD, Harper CM. Recurrent intraneural ganglion cyst of the tibial nerve. J Neurosurg. 2000;92:334–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Scheller C, Richter HP, Scheuerle A, Kretschmer T, König RW, Antoniadis G. Intraneural perineurinomas: a rare entity. Clinical, surgical and neuropathological details in the management of these lesions. Zentralbl Neurochir. 2008;69:134–8.PubMedCrossRefGoogle Scholar
  7. 7.
    Kline DG, Hudson AR. Nerve injuries. Philadelphia: W B Sounders; 1995. p. 569–72.Google Scholar
  8. 8.
    Lee D, Suh YL, Han J, Kim ES. Spinal nerve sheath myxoma (neurothekeoma). Pathol Int. 2006;56(3):144–9.PubMedCrossRefGoogle Scholar
  9. 9.
    Haas SC, Chung KG. Anterior interosseous nerve transfer to the motor branch of the ulnar nerve for high ulnar nerve injuries. Ann Plast Surg. 2002;49(3):285–90.CrossRefGoogle Scholar
  10. 10.
    Kim JR, Seo JS, Kwon MS. Intraneural hemangioma of the median nerve. A case report. J Korean Soc Surg Hand. 2011;16(3):175–8.Google Scholar
  11. 11.
    Bojsen-Møller M, Spaun E. Peripheral nerve tumor composed of neurilemmoma and haemangioma elements. Acta Neurochir. 1978;40:299–305.Google Scholar
  12. 12.
    Toms A, Anastakis D, Bleakney RR, Marshall TJ. Lipofibromatous hamartoma of the upper extremity: a review of the radiologic findings for 15 patients. AJR Am J Roentgenol. 2006;186:805–11.PubMedCrossRefGoogle Scholar
  13. 13.
    Gupta A, Geetha V, Monappa V, Bhat SS. Multiple neural fibrolipomas with macrodactyly. Indian J Dermatol. 2011;56(6):766–7.PubMedCentralPubMedCrossRefGoogle Scholar
  14. 14.
    Hardwell AS. Contributions from the Long Island Hospital Boston Harbour. Cystic tumor of median nerve: operation: restoration of function. Boston Med Surg J. 1901;144:582–3.CrossRefGoogle Scholar
  15. 15.
    Penkert G, Fansa H. Peripheral nerve lesions. Berlin: Springer; 2004. p. 166–9.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Götz Penkert
    • 1
  1. 1.Neurosurgical DepartmentFriederiken-HospitalHannoverGermany

Personalised recommendations