Most of the nonneoplastic tumor-like lesions affecting the peripheral nervous system are rarely encountered. In many situations, a good history of the presenting symptoms can suggest a reactive or infectious neuroma. The physical examination can also suggest an inflammatory or hyperplastic lesion. In some cases, however, the correct diagnosis can only be made at surgery. Nonetheless, awareness of these lesions is important in limiting unnecessarily aggressive surgical procedures. Patients suspected of having nonneoplastic lesions are followed and treated surgically for symptomatic relief or when the diagnosis is unclear. In some situations, the surgical treatment of choice may be debated. Nevertheless, we adopt a conservative approach to these lesions and reserve more aggressive techniques for cases that do not respond to more conservative means.
BT - Neurosurgery clinics of North America C1 - http://www.ncbi.nlm.nih.gov/pubmed/15177321?dopt=Abstract DA - 2004 Apr DO - 10.1016/j.nec.2004.02.001 IS - 2 J2 - Neurosurg. Clin. N. Am. LA - eng N2 -Most of the nonneoplastic tumor-like lesions affecting the peripheral nervous system are rarely encountered. In many situations, a good history of the presenting symptoms can suggest a reactive or infectious neuroma. The physical examination can also suggest an inflammatory or hyperplastic lesion. In some cases, however, the correct diagnosis can only be made at surgery. Nonetheless, awareness of these lesions is important in limiting unnecessarily aggressive surgical procedures. Patients suspected of having nonneoplastic lesions are followed and treated surgically for symptomatic relief or when the diagnosis is unclear. In some situations, the surgical treatment of choice may be debated. Nevertheless, we adopt a conservative approach to these lesions and reserve more aggressive techniques for cases that do not respond to more conservative means.
PY - 2004 SP - 223 EP - 30 T2 - Neurosurgery clinics of North America TI - Nonneoplastic peripheral nerve tumors. VL - 15 SN - 1042-3680 ER -