Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature
Sciatica is commonly caused by lumbar prolapsed intervertebral disc (PID) and other spinal lesions. Uncommon causes like nerve root schwannoma are rarely considered in the differential diagnosis of sciatica. Spinal schwannomas occur both sporadically and in association with neurofibromatosis type 1...
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2012-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2012/142143 |
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doaj-0135a35ca7304700a7cfa1c3249767f62020-11-24T20:40:15ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572012-01-01201210.1155/2012/142143142143Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of LiteratureTarush Rustagi0Siddharth Badve1Aseem N. Parekh2Department of Orthopaedics, Topiwala National Medical College & B.Y.L. Nair Hospital, Mumbai 400008, IndiaDepartment of Orthopaedics, Topiwala National Medical College & B.Y.L. Nair Hospital, Mumbai 400008, IndiaDepartment of Orthopaedics, Topiwala National Medical College & B.Y.L. Nair Hospital, Mumbai 400008, IndiaSciatica is commonly caused by lumbar prolapsed intervertebral disc (PID) and other spinal lesions. Uncommon causes like nerve root schwannoma are rarely considered in the differential diagnosis of sciatica. Spinal schwannomas occur both sporadically and in association with neurofibromatosis type 1 (NF1; von Recklinghausen's disease). This case report describes lumbar foraminal schwannoma as an unusual cause of radiculopathy, presenting clinically as a lumbar disc prolapse. The diagnosis was confirmed on MRI scan. Patient had complete symptomatic recovery following surgical enucleation of the tumour mass from the L5 nerve root. This case report is of particular interest as it highlights the diagnostic confusion, which is bound to arise, because the clinical presentation closely mimics a lumbar PID. This often leads to delay in diagnosis and “failure of conservative treatment.”http://dx.doi.org/10.1155/2012/142143 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tarush Rustagi Siddharth Badve Aseem N. Parekh |
spellingShingle |
Tarush Rustagi Siddharth Badve Aseem N. Parekh Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature Case Reports in Orthopedics |
author_facet |
Tarush Rustagi Siddharth Badve Aseem N. Parekh |
author_sort |
Tarush Rustagi |
title |
Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature |
title_short |
Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature |
title_full |
Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature |
title_fullStr |
Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature |
title_full_unstemmed |
Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature |
title_sort |
sciatica from a foraminal lumbar root schwannoma: case report and review of literature |
publisher |
Hindawi Limited |
series |
Case Reports in Orthopedics |
issn |
2090-6749 2090-6757 |
publishDate |
2012-01-01 |
description |
Sciatica is commonly caused by lumbar prolapsed intervertebral disc (PID) and other spinal lesions. Uncommon causes like nerve root schwannoma are rarely considered in the differential diagnosis of sciatica. Spinal schwannomas occur both sporadically and in association with neurofibromatosis type 1 (NF1; von Recklinghausen's disease).
This case report describes lumbar foraminal schwannoma as an unusual cause of radiculopathy, presenting clinically as a lumbar disc prolapse. The diagnosis was confirmed on MRI scan. Patient had complete symptomatic recovery following surgical enucleation of the tumour mass from the L5 nerve root. This case report is of particular interest as it highlights the diagnostic confusion, which is bound to arise, because the clinical presentation closely mimics a lumbar PID. This often leads to delay in diagnosis and “failure of conservative treatment.” |
url |
http://dx.doi.org/10.1155/2012/142143 |
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