Intraneural hematoma: A proposed anatomic classification with potential treatment implications

Godard C W De Ruiter, Nikhil K. Prasad, Robert J. Spinner, Allen H. Maniker

Research output: Contribution to journalArticle

Abstract

Intraneural hematoma is a rare entity with fewer than 20 cases reported in the literature. There is no consensus on surgical treatment due to its rarity. We present a novel classification for intraneural hematomas based on a review of the literature and illustrated by 4 cases that were treated in our 3 centers. This classification system localizes the hematoma to the different connective tissue layers that compose the nerve: the paraneurium, epineurium, and perineurium. We believe that this classification has consequences for surgical treatment and can form the foundation for future research into the natural history of these types of lesions.

Original languageEnglish (US)
Pages (from-to)1977-1984
Number of pages8
JournalWorld Neurosurgery
Volume84
Issue number6
DOIs
StatePublished - Dec 1 2015

Fingerprint

Hematoma
Peripheral Nerves
Natural History
Connective Tissue

Keywords

  • Hematoma
  • Interfascicular
  • Intrafascicular
  • Subepineurial
  • Subparaneurial

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Medicine(all)

Cite this

Intraneural hematoma : A proposed anatomic classification with potential treatment implications. / De Ruiter, Godard C W; Prasad, Nikhil K.; Spinner, Robert J.; Maniker, Allen H.

In: World Neurosurgery, Vol. 84, No. 6, 01.12.2015, p. 1977-1984.

Research output: Contribution to journalArticle

De Ruiter, Godard C W ; Prasad, Nikhil K. ; Spinner, Robert J. ; Maniker, Allen H. / Intraneural hematoma : A proposed anatomic classification with potential treatment implications. In: World Neurosurgery. 2015 ; Vol. 84, No. 6. pp. 1977-1984.
@article{bc41ea2d74b943d3a362fe32ab781c7a,
title = "Intraneural hematoma: A proposed anatomic classification with potential treatment implications",
abstract = "Intraneural hematoma is a rare entity with fewer than 20 cases reported in the literature. There is no consensus on surgical treatment due to its rarity. We present a novel classification for intraneural hematomas based on a review of the literature and illustrated by 4 cases that were treated in our 3 centers. This classification system localizes the hematoma to the different connective tissue layers that compose the nerve: the paraneurium, epineurium, and perineurium. We believe that this classification has consequences for surgical treatment and can form the foundation for future research into the natural history of these types of lesions.",
keywords = "Hematoma, Interfascicular, Intrafascicular, Subepineurial, Subparaneurial",
author = "{De Ruiter}, {Godard C W} and Prasad, {Nikhil K.} and Spinner, {Robert J.} and Maniker, {Allen H.}",
year = "2015",
month = "12",
day = "1",
doi = "10.1016/j.wneu.2015.08.063",
language = "English (US)",
volume = "84",
pages = "1977--1984",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Intraneural hematoma

T2 - A proposed anatomic classification with potential treatment implications

AU - De Ruiter, Godard C W

AU - Prasad, Nikhil K.

AU - Spinner, Robert J.

AU - Maniker, Allen H.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Intraneural hematoma is a rare entity with fewer than 20 cases reported in the literature. There is no consensus on surgical treatment due to its rarity. We present a novel classification for intraneural hematomas based on a review of the literature and illustrated by 4 cases that were treated in our 3 centers. This classification system localizes the hematoma to the different connective tissue layers that compose the nerve: the paraneurium, epineurium, and perineurium. We believe that this classification has consequences for surgical treatment and can form the foundation for future research into the natural history of these types of lesions.

AB - Intraneural hematoma is a rare entity with fewer than 20 cases reported in the literature. There is no consensus on surgical treatment due to its rarity. We present a novel classification for intraneural hematomas based on a review of the literature and illustrated by 4 cases that were treated in our 3 centers. This classification system localizes the hematoma to the different connective tissue layers that compose the nerve: the paraneurium, epineurium, and perineurium. We believe that this classification has consequences for surgical treatment and can form the foundation for future research into the natural history of these types of lesions.

KW - Hematoma

KW - Interfascicular

KW - Intrafascicular

KW - Subepineurial

KW - Subparaneurial

UR - http://www.scopus.com/inward/record.url?scp=84952638488&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84952638488&partnerID=8YFLogxK

U2 - 10.1016/j.wneu.2015.08.063

DO - 10.1016/j.wneu.2015.08.063

M3 - Article

C2 - 26344353

AN - SCOPUS:84952638488

VL - 84

SP - 1977

EP - 1984

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

IS - 6

ER -