<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462023000400256</article-id>
<article-id pub-id-type="doi">10.35366/117943</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de la electrofisiología intraoperatoria en resección intratorácica de schwannoma]]></article-title>
<article-title xml:lang="en"><![CDATA[Utility of intraoperative electrophysiology in intrathoracic resection of schwannoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sancho-Hernández]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marhx-Bracho]]></surname>
<given-names><![CDATA[Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solorio-Rodríguez]]></surname>
<given-names><![CDATA[Lizbeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mata-Favela]]></surname>
<given-names><![CDATA[Nadia Nohemí]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Pediatría  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>82</volume>
<numero>4</numero>
<fpage>256</fpage>
<lpage>259</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462023000400256&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462023000400256&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462023000400256&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  Los tumores primarios del plexo braquial son infrecuentes y corresponden con schwannomas y neurofibromas, éstos son abordados como masas cervicomediastinales con extensión intratorácica apical, pueden debutar con síntomas de compresión neural.  Descripción del caso:  Femenino de 14 años con neurofibromatosis tipo I, dolor en miembro superior izquierdo, paresia y parestesia, atrofia y disminución de la fuerza muscular con dermatosis generalizada y aumento de volumen en hemicuello izquierdo. En la resonancia se muestra lesión extradural que se origina a nivel de C7-T1 izquierdo y desplazamiento de tráquea y esófago e invasión hacia región mediastinal; electromiografía con disminución de amplitud sensorial y motora del nervio cubital izquierdo. Se realiza exéresis tumoral a través de abordaje cervicotorácico anterior con monitoreo neurofisiológico, encontrando: masa encapsulada resecada por enucleación central dependiente de raíces nerviosas C5, C6 y C7, extrapleural. El reporte de patología es diagnóstico de schwannoma cervicotorácico; recuperación gradual de movilidad a siete años de seguimiento con apoyo de rehabilitación.  Conclusión:  El abordaje de las masas localizadas en el plexo braquial con extensión mediastinal y a la unión cervicotorácica representa un desafío quirúrgico. La monitorización neurofisiológica transoperatoria aumenta la seguridad y el beneficio pronóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Primary tumors of the brachial plexus are rare and correspond to schwannomas and neurofibromas. These are treated as cervical-mediastinal masses with apical intrathoracic extension. They may debut with symptoms of neural compression.  Case description: 14-year-old woman with neurofibromatosis type I, pain in the left upper limb, paresis and paresthesia, atrophy and decreased muscle strength with generalized dermatosis and increased volume in the left side of the neck; in the MRI with extradural lesion originating at the level of left C7-T1 and displacement of the trachea and esophagus and invasion towards the mediastinal region; electromyography with decreased sensory and motor amplitude of the left ulnar nerve. Tumor excision was performed through anterior thoracic cervical approach with neurophysiological monitoring, finding: encapsulated mass resected by central enucleation dependent on nerve roots C5, C6 and C7, extrapleural. Pathology report with cervicothoracic schwannoma; gradual recovery of mobility at seven years of follow-up with rehabilitation support.  Conclusion: Approaching masses located in the brachial plexus with mediastinal extension and to the cervicothoracic junction is a surgical challenge. Intraoperative neurophysiological monitoring increases safety and prognostic benefit.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[schwannoma]]></kwd>
<kwd lng="es"><![CDATA[plexopatía braquial]]></kwd>
<kwd lng="es"><![CDATA[reporte de caso]]></kwd>
<kwd lng="es"><![CDATA[monitorización neurofisiológica]]></kwd>
<kwd lng="en"><![CDATA[schwannoma]]></kwd>
<kwd lng="en"><![CDATA[brachial plexopathy]]></kwd>
<kwd lng="en"><![CDATA[case report]]></kwd>
<kwd lng="en"><![CDATA[neurophysiological monitoring]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siqueira]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of brachial plexus region tumours and tumour-like conditions: relevant diagnostic and surgical features in a consecutive series of eighteen patients]]></article-title>
<source><![CDATA[Acta Neurochir (Wien)]]></source>
<year>2009</year>
<volume>151</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1089-98</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Clarós]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Remjasz-Jurek]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Clarós]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brachial plexus schwannoma in early adolescence. Case report]]></article-title>
<source><![CDATA[Open J Otolaryngol Rhinol]]></source>
<year>2019</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>01-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kehoe]]></surname>
<given-names><![CDATA[NJ]]></given-names>
</name>
<name>
<surname><![CDATA[Reid]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Semple]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Solitary benign peripheral-nerve tumors. Review of 32 years&#8217; experience]]></article-title>
<source><![CDATA[J Bone Joint Surg Br]]></source>
<year>1995</year>
<volume>77</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>497-500</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Rhee]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Gong]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Baek]]></surname>
<given-names><![CDATA[GH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Is surgery for brachial plexus schwannomas safe and effective?]]></article-title>
<source><![CDATA[Clin Orthop Relat Res]]></source>
<year>2014</year>
<volume>472</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1893-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[JSY]]></given-names>
</name>
<name>
<surname><![CDATA[Josephine]]></surname>
<given-names><![CDATA[WYIp]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brachial plexus schwannoma: Report of 4 cases with intralesional enucleation]]></article-title>
<source><![CDATA[Arch Clin Exp Orthop]]></source>
<year>2017</year>
<volume>1</volume>
<page-range>004-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bartolomé-Villar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[González-Alenda]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bartolomé]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Fraile-Moreno]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez-de las Matas]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Villanueva]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio del plexo braquial mediante resonancia magnética]]></article-title>
<source><![CDATA[Rev Neurol]]></source>
<year>1998</year>
<volume>26</volume>
<numero>154</numero>
<issue>154</issue>
<page-range>983-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Murovic]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Tiel]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Moes]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Kline]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A series of 397 peripheral neural sheath tumors: 30-year experience at Louisiana State University Health Sciences Center]]></article-title>
<source><![CDATA[J Neurosurg]]></source>
<year>2005</year>
<volume>102</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>246-55</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sasaki]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Nagano]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Yokouchi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Setoguchi]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Shimada]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Yamamoto]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Utility of intraoperative monitoring with motor-evoked potential during the surgical enucleation of peripheral nerve schwannoma]]></article-title>
<source><![CDATA[Oncol Lett]]></source>
<year>2018</year>
<volume>15</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>9327-32</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kwok]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Kliot]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resection of a benign brachial plexus nerve sheath tumor using intraoperative electrophysiological monitoring]]></article-title>
<source><![CDATA[Neurosurgery]]></source>
<year>2007</year>
<volume>60</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>316-20</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[ACA]]></given-names>
</name>
<name>
<surname><![CDATA[Collado]]></surname>
<given-names><![CDATA[OMÁ]]></given-names>
</name>
<name>
<surname><![CDATA[Correa]]></surname>
<given-names><![CDATA[MLI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Monitoreo intraoperatorio multimodal y su aplicación en cirugía de nervios periféricos: ¿cuándo es de utilidad?]]></article-title>
<source><![CDATA[An Med (Mex)]]></source>
<year>2016</year>
<volume>61</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>123-31</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
