Traumatic neuroma of the anterior cervical nerve root with no subjective episode of trauma. Report of four cases

Hiroshi Nomura, Katsumi Harimaya, Hisaya Orii, Keiichiro Shiba, Takayoshi Ueta, Toru Iwaki

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The authors report four cases of traumatic neuroma in the cervical nerve root in patients with no history of trauma. In one case the patient presented with intractable pain in the left upper extremity and motor paresis of the left shoulder, and in another case the patient suffered neuropathic pain in the left forearm. In both cases, magnetic resonance (MR) imaging revealed an intradural extramedullary mass lesion in the ipsilateral cervical nerve root; these MR imaging signals were similar to the intensity of the spinal cord. Intraoperatively, fusiform enlargement of the anterior cervical nerve root was detected in the subarachnoid space. Histological examination showed a meandering change of axons accompanied by mild axonal swelling and a thin myelin sheath, which are consistent with the typical pathological features of traumatic neuroma. Postoperatively, pain resolved in both cases. The authors also investigated two traumatic neuromas of the anterior cervical nerve root in autopsy cases in which there was no history of trauma and no significant neurological signs suggestive of traumatic neuroma. The authors conclude that traumatic neuroma of the anterior cervical nerve root may develop following an unnoticed minor brachial plexus injury at birth or a forgotten traction injury of the upper extremity in childhood, and the lesion may be accompanied by various case-specific clinical features.

Original languageEnglish
Pages (from-to)393-396
Number of pages4
JournalJournal of Neurosurgery
Volume97
Issue number3 SUPPL.
Publication statusPublished - Oct 1 2002

Fingerprint

Neuroma
Wounds and Injuries
Arm Injuries
Magnetic Resonance Imaging
Intractable Pain
Subarachnoid Space
Brachial Plexus
Traction
Neuralgia
Paresis
Myelin Sheath
Forearm
Upper Extremity
Axons
Autopsy
Spinal Cord
Parturition
Pain

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Traumatic neuroma of the anterior cervical nerve root with no subjective episode of trauma. Report of four cases. / Nomura, Hiroshi; Harimaya, Katsumi; Orii, Hisaya; Shiba, Keiichiro; Ueta, Takayoshi; Iwaki, Toru.

In: Journal of Neurosurgery, Vol. 97, No. 3 SUPPL., 01.10.2002, p. 393-396.

Research output: Contribution to journalArticle

Nomura, Hiroshi ; Harimaya, Katsumi ; Orii, Hisaya ; Shiba, Keiichiro ; Ueta, Takayoshi ; Iwaki, Toru. / Traumatic neuroma of the anterior cervical nerve root with no subjective episode of trauma. Report of four cases. In: Journal of Neurosurgery. 2002 ; Vol. 97, No. 3 SUPPL. pp. 393-396.
@article{c35ff716b4a94c95859e3186e766acbe,
title = "Traumatic neuroma of the anterior cervical nerve root with no subjective episode of trauma. Report of four cases",
abstract = "The authors report four cases of traumatic neuroma in the cervical nerve root in patients with no history of trauma. In one case the patient presented with intractable pain in the left upper extremity and motor paresis of the left shoulder, and in another case the patient suffered neuropathic pain in the left forearm. In both cases, magnetic resonance (MR) imaging revealed an intradural extramedullary mass lesion in the ipsilateral cervical nerve root; these MR imaging signals were similar to the intensity of the spinal cord. Intraoperatively, fusiform enlargement of the anterior cervical nerve root was detected in the subarachnoid space. Histological examination showed a meandering change of axons accompanied by mild axonal swelling and a thin myelin sheath, which are consistent with the typical pathological features of traumatic neuroma. Postoperatively, pain resolved in both cases. The authors also investigated two traumatic neuromas of the anterior cervical nerve root in autopsy cases in which there was no history of trauma and no significant neurological signs suggestive of traumatic neuroma. The authors conclude that traumatic neuroma of the anterior cervical nerve root may develop following an unnoticed minor brachial plexus injury at birth or a forgotten traction injury of the upper extremity in childhood, and the lesion may be accompanied by various case-specific clinical features.",
author = "Hiroshi Nomura and Katsumi Harimaya and Hisaya Orii and Keiichiro Shiba and Takayoshi Ueta and Toru Iwaki",
year = "2002",
month = "10",
day = "1",
language = "English",
volume = "97",
pages = "393--396",
journal = "Journal of Neurosurgery",
issn = "0022-3085",
publisher = "American Association of Neurological Surgeons",
number = "3 SUPPL.",

}

TY - JOUR

T1 - Traumatic neuroma of the anterior cervical nerve root with no subjective episode of trauma. Report of four cases

AU - Nomura, Hiroshi

AU - Harimaya, Katsumi

AU - Orii, Hisaya

AU - Shiba, Keiichiro

AU - Ueta, Takayoshi

AU - Iwaki, Toru

PY - 2002/10/1

Y1 - 2002/10/1

N2 - The authors report four cases of traumatic neuroma in the cervical nerve root in patients with no history of trauma. In one case the patient presented with intractable pain in the left upper extremity and motor paresis of the left shoulder, and in another case the patient suffered neuropathic pain in the left forearm. In both cases, magnetic resonance (MR) imaging revealed an intradural extramedullary mass lesion in the ipsilateral cervical nerve root; these MR imaging signals were similar to the intensity of the spinal cord. Intraoperatively, fusiform enlargement of the anterior cervical nerve root was detected in the subarachnoid space. Histological examination showed a meandering change of axons accompanied by mild axonal swelling and a thin myelin sheath, which are consistent with the typical pathological features of traumatic neuroma. Postoperatively, pain resolved in both cases. The authors also investigated two traumatic neuromas of the anterior cervical nerve root in autopsy cases in which there was no history of trauma and no significant neurological signs suggestive of traumatic neuroma. The authors conclude that traumatic neuroma of the anterior cervical nerve root may develop following an unnoticed minor brachial plexus injury at birth or a forgotten traction injury of the upper extremity in childhood, and the lesion may be accompanied by various case-specific clinical features.

AB - The authors report four cases of traumatic neuroma in the cervical nerve root in patients with no history of trauma. In one case the patient presented with intractable pain in the left upper extremity and motor paresis of the left shoulder, and in another case the patient suffered neuropathic pain in the left forearm. In both cases, magnetic resonance (MR) imaging revealed an intradural extramedullary mass lesion in the ipsilateral cervical nerve root; these MR imaging signals were similar to the intensity of the spinal cord. Intraoperatively, fusiform enlargement of the anterior cervical nerve root was detected in the subarachnoid space. Histological examination showed a meandering change of axons accompanied by mild axonal swelling and a thin myelin sheath, which are consistent with the typical pathological features of traumatic neuroma. Postoperatively, pain resolved in both cases. The authors also investigated two traumatic neuromas of the anterior cervical nerve root in autopsy cases in which there was no history of trauma and no significant neurological signs suggestive of traumatic neuroma. The authors conclude that traumatic neuroma of the anterior cervical nerve root may develop following an unnoticed minor brachial plexus injury at birth or a forgotten traction injury of the upper extremity in childhood, and the lesion may be accompanied by various case-specific clinical features.

UR - http://www.scopus.com/inward/record.url?scp=0036774254&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036774254&partnerID=8YFLogxK

M3 - Article

C2 - 12408400

AN - SCOPUS:0036774254

VL - 97

SP - 393

EP - 396

JO - Journal of Neurosurgery

JF - Journal of Neurosurgery

SN - 0022-3085

IS - 3 SUPPL.

ER -