Schwannoma of the tibial nerve–An unusual case of foot pain

Schwannoma of the tibial nerve–An unusual case of foot pain

Schwannomas of the tibial nerve are extremely rare. We present a 45-year-old female with diffuse pain in the left foot who had a tibial nerve neuroma. Diagnosis was delayed for 10 years. She had seen multiple specialists without diagnosis. MRI of the upper calf was eventually performed showing a 4 c...

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Main Authors: Nathan Chalik, Ellen Frydenberg, Sonia Henry, Andrew Higgs, Timothy Steel
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Interdisciplinary Neurosurgery
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751919300581
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spelling doaj-da31abbad3b94923b12b2ac8b0c94d552020-11-25T01:41:44ZengElsevierInterdisciplinary Neurosurgery2214-75192019-12-0118Schwannoma of the tibial nerve–An unusual case of foot painNathan Chalik0Ellen Frydenberg1Sonia Henry2Andrew Higgs3Timothy Steel4Department of Neurosurgery, St Vincent's Hospital, Darlinghurst, NSW, Australia; School of Medicine, University of New South Wales, NSW, AustraliaDepartment of Neurosurgery, St Vincent's Hospital, Darlinghurst, NSW, Australia; School of Medicine, University of New South Wales, NSW, Australia; Corresponding author at: C/O suite 1405 St Vincent's Private Hospital, 406 Victoria Street, Darlinghurst, NSW 2010, Australia.Department of Orthopaedics, St Vincent's Hospital, Darlinghurst, NSW, AustraliaDepartment of Orthopaedics, St Vincent's Hospital, Darlinghurst, NSW, AustraliaDepartment of Neurosurgery, St Vincent's Hospital, Darlinghurst, NSW, Australia; School of Medicine, University of New South Wales, NSW, AustraliaSchwannomas of the tibial nerve are extremely rare. We present a 45-year-old female with diffuse pain in the left foot who had a tibial nerve neuroma. Diagnosis was delayed for 10 years. She had seen multiple specialists without diagnosis. MRI of the upper calf was eventually performed showing a 4 cm tibial nerve tumour. Surgical excision was performed. Histopathology confirmed Schwannoma. The patient reported complete alleviation of her symptoms. The long delay in diagnosis highlights the importance of MRI imaging in cases of unexplained foot or ankle pain. Scans should be performed not only of the foot, but also the calf as the pathology may be arising more proximally in the limb.http://www.sciencedirect.com/science/article/pii/S2214751919300581
collection DOAJ
language English
format Article
sources DOAJ
author Nathan Chalik
Ellen Frydenberg
Sonia Henry
Andrew Higgs
Timothy Steel
spellingShingle Nathan Chalik
Ellen Frydenberg
Sonia Henry
Andrew Higgs
Timothy Steel
Schwannoma of the tibial nerve–An unusual case of foot pain
Interdisciplinary Neurosurgery
author_facet Nathan Chalik
Ellen Frydenberg
Sonia Henry
Andrew Higgs
Timothy Steel
author_sort Nathan Chalik
title Schwannoma of the tibial nerve–An unusual case of foot pain
title_short Schwannoma of the tibial nerve–An unusual case of foot pain
title_full Schwannoma of the tibial nerve–An unusual case of foot pain
title_fullStr Schwannoma of the tibial nerve–An unusual case of foot pain
title_full_unstemmed Schwannoma of the tibial nerve–An unusual case of foot pain
title_sort schwannoma of the tibial nerve–an unusual case of foot pain
publisher Elsevier
series Interdisciplinary Neurosurgery
issn 2214-7519
publishDate 2019-12-01
description Schwannomas of the tibial nerve are extremely rare. We present a 45-year-old female with diffuse pain in the left foot who had a tibial nerve neuroma. Diagnosis was delayed for 10 years. She had seen multiple specialists without diagnosis. MRI of the upper calf was eventually performed showing a 4 cm tibial nerve tumour. Surgical excision was performed. Histopathology confirmed Schwannoma. The patient reported complete alleviation of her symptoms. The long delay in diagnosis highlights the importance of MRI imaging in cases of unexplained foot or ankle pain. Scans should be performed not only of the foot, but also the calf as the pathology may be arising more proximally in the limb.
url http://www.sciencedirect.com/science/article/pii/S2214751919300581
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AT andrewhiggs schwannomaofthetibialnerveanunusualcaseoffootpain
AT timothysteel schwannomaofthetibialnerveanunusualcaseoffootpain
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