Segmental schwannomatosis of brachial plexus- a rare case report

Dr Aravind S Ganapath; Dr Sulfekar M S; Dr Anoop S

Volume : V, Issue : VII, July - 2016

Segmental schwannomatosis of brachial plexus- a rare case report

Dr Aravind S Ganapath, Dr Sulfekar M S, Dr Anoop S

Abstract :

This paper reports the first case of multiple schwannomas from the trunks and divisions of achial plexus on the same side in a patient without any other stigmata of neurofiomatosis i.e a case of segmental schwannomatosis from trunks and division of achial plexus. Our patient presented with swelling and pain in the left axilla of four months duration associated with tingling sensation in left upper limb on tapping the swelling. Magnetic Resonance Imaging of the left axilla revealed two well defined closely spaced lesions and suggested possibly schwannoma. Nerve Conduction Study of left upper limb showed left achial plexopathy. Excision of the swellings were done via axillary and infraclavicular incisions with explained risk of nerve damage. Post operatively patient developed left wrist drop which improved with physiotherapy. The histopathology report came as schwannoma with degenerative changes.