Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review
Background Data: Schwannomas originating from the sciatic nerve are extremely rare and usually present as a pathological mass on palpable examination or pain located in the thigh. Motor and sensory deficits are observed more often with big size lesions. Purpose: To describe a rare case of giant schw...
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Egyptian spine association
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doaj-5fa681f5e2524d558642f252279486282020-11-25T00:21:07ZengEgyptian spine associationEgyptian Spine Journal2314-89502314-89692018-04-012614852DOI:10.21608/ESJ.2018.11243Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature ReviewTarek ElEmam0Mohamed Hasan1Mohamed ElSebaey2Neurosurgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.Neurosurgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.Neurosurgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.Background Data: Schwannomas originating from the sciatic nerve are extremely rare and usually present as a pathological mass on palpable examination or pain located in the thigh. Motor and sensory deficits are observed more often with big size lesions. Purpose: To describe a rare case of giant schwannoma of the sciatic nerve with 2 years delay in management. Study Design: Case report and review of the literature. Patients and Methods: A 19-years- old female patient was referred to Suez Canal University Hospital after 6 years of pain and 2 years of improper management. She presented with increasing swelling in the posterior aspect of her right thigh associated with paresthesia and weakness. After neurological examination an MRI of the right thigh was done and revealed huge mass attached to the right sciatic nerve. Results: Surgical excision was undertaken, carefully dissecting the lesion from the sciatic nerve. Histopathological examination revealed a sciatic nerve schwannoma. The patient had marked postoperative recovery with marked pain reduction and improved neurological deficits. Conclusion: Schwannomas of the sciatic nerve are eccentrically located on the nerve. they should be systematically suspected if thigh mass or persistent sciatica is reported. Surgical excision has good prognosis. (2018ESJ157)http://www.esj.journals.ekb.eg/article_11243.htmlSchwannomasciatic nervesciatica |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tarek ElEmam Mohamed Hasan Mohamed ElSebaey |
spellingShingle |
Tarek ElEmam Mohamed Hasan Mohamed ElSebaey Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review Egyptian Spine Journal Schwannoma sciatic nerve sciatica |
author_facet |
Tarek ElEmam Mohamed Hasan Mohamed ElSebaey |
author_sort |
Tarek ElEmam |
title |
Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review |
title_short |
Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review |
title_full |
Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review |
title_fullStr |
Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review |
title_full_unstemmed |
Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review |
title_sort |
neglected giant schwannoma of the sciatic nerve. case report and literature review |
publisher |
Egyptian spine association |
series |
Egyptian Spine Journal |
issn |
2314-8950 2314-8969 |
publishDate |
2018-04-01 |
description |
Background Data: Schwannomas originating from the sciatic nerve are extremely rare and usually present as a pathological mass on palpable examination or pain located in the thigh. Motor and sensory deficits are observed more often with big size lesions. Purpose: To describe a rare case of giant schwannoma of the sciatic nerve with 2 years
delay in management. Study Design: Case report and review of the literature.
Patients and Methods: A 19-years- old female patient was referred to Suez Canal University Hospital after 6 years of pain and 2 years of improper management. She presented with increasing swelling in the posterior aspect of her right thigh associated with paresthesia and weakness. After neurological examination an MRI of the right thigh was done and revealed huge mass attached to the right sciatic nerve. Results: Surgical excision was undertaken, carefully dissecting the lesion from the sciatic nerve. Histopathological examination revealed a sciatic nerve schwannoma. The patient had marked postoperative recovery with marked pain reduction and improved neurological deficits. Conclusion: Schwannomas of the sciatic nerve are eccentrically located on the nerve. they should be systematically suspected if thigh mass or persistent sciatica is reported. Surgical excision has good prognosis. (2018ESJ157) |
topic |
Schwannoma sciatic nerve sciatica |
url |
http://www.esj.journals.ekb.eg/article_11243.html |
work_keys_str_mv |
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1725363839090819072 |