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
收藏
页码：748 / 750
页数：3
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