Chronic sciatic pain caused by sciatic nerve schwannoma

被引：14

作者：

Blanchard, C. ^{[1
]}

Dam-Hieu, P. ^{[2
]}

Zagnoli, F. ^{[1
]}

Bellard, S. ^{[1
]}

机构：

[1] Hop Instruct Armees Clermont Tonnerre, Serv Neurol, F-29240 Brest, France

[2] CHU Cavale Blanche, Serv Neurochirurg, F-29200 Brest, France

来源：

REVUE DE MEDECINE INTERNE | 2008年 / 29卷 / 09期

关键词：

sciatica; schwannoma; peripheral nerve sheath tumors; surgery;

D O I：

10.1016/j.revmed.2008.01.008

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Schwannomas are tumors with slowly progessive symptoms, more often painful than associated with neurologic deficits. Involvement of the sciatic nerve mimics chronic sciatic pain due to a herniated disk. If there is no lumbar pain and lumbar MRI is normal, the sciatic nerve must be clinically and radiologically examined all along its course. We report a patient with chronic sciatica in whom physical examination revealed a painful mass with a Tinel sign in her back tigh. MRI showed a multilobular mass along the sciatic nerve. Surgery of this plexiform schwannoma allowed a complete relief from pain. (C) 2008 Elsevier Masson SAS. Tous droits reserves.

引用

页码：748 / 750

页数：3

共 12 条

[1] A rare cause of lumbago-sciatica [J].

Amezyane, T. ;

Pouit, B. ;

Bassou, D. ;

Lecoules, S. ;

Desrame, J. ;

Blade, J. -S. ;

Bechade, D. ;

Algayres, J. -P. .

REVUE DE MEDECINE INTERNE, 2006, 27 (06) :494-496

[2] MR OF BENIGN PERIPHERAL-NERVE SHEATH TUMORS [J].

CEROFOLINI, E ;

LANDI, A ;

DESANTIS, G ;

MAIORANA, A ;

CANOSSI, G ;

ROMAGNOLI, R .

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1991, 15 (04) :593-597

[3] Spinal neurinomas: Retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature [J].

Conti, P ;

Pansini, G ;

Mouchaty, H ;

Capuano, C ;

Conti, R ;

Zhang, R ;

Zhou, LF ;

de Almeida, GM ;

Shibata, MK ;

Samil, M ;

Klekamp, J .

SURGICAL NEUROLOGY, 2004, 61 (01) :34-44

[4]

DUBUISSON A, 1991, ACTA NEUROL BELG, V91, P5

[5] SCIATICA CAUSED BY A NEURILEMOMA OF THE INTRAPELVIC PORTION OF THE SCIATIC-NERVE - A CASE-REPORT [J].

KELSO, TB ;

FERRARI, CJ ;

FRASSICA, FJ .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1993, 75A (04) :603-605

[6] Sciatica in a patient with unusual peripheral nerve sheath tumors [J].

Kralick, Francis ;

Koenigsberg, Robert .

SURGICAL NEUROLOGY, 2006, 66 (06) :634-637

[7] LONG-TERM OUTCOME AFTER REMOVAL OF SPINAL SCHWANNOMA - A CLINICOPATHOLOGICAL STUDY OF 187 CASES [J].

SEPPALA, MT ;

HALTIA, MJJ ;

SANKILA, RJ ;

JAASKELAINEN, JE ;

HEISKANEN, O .

JOURNAL OF NEUROSURGERY, 1995, 83 (04) :621-626

[8] An occult schwannoma of the deep peroneal nerve presenting with neuralgia mimicking sciatica: Case report and review of the literature [J].

Sharma, RR ;

Pawar, SP ;

Dey, P .

ANNALS OF SAUDI MEDICINE, 2000, 20 (01) :57-59

[9]

THOMAS JE, 1983, MAYO CLIN PROC, V58, P640

[10]

WHITAKER WG, 1976, AM SURGEON, V42, P675

← 1 2 →