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.
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Med Univ South Carolina, Div Vasc Surg, Dept Neurosurg, Charleston, SC 29425 USAMed Univ South Carolina, Div Vasc Surg, Dept Neurosurg, Charleston, SC 29425 USA
Pacult, Mark A.
Henderson, Fraser C., Jr.
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Med Univ South Carolina, Div Vasc Surg, Dept Neurosurg, Charleston, SC 29425 USAMed Univ South Carolina, Div Vasc Surg, Dept Neurosurg, Charleston, SC 29425 USA
Henderson, Fraser C., Jr.
Wooster, Mathew D.
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Med Univ South Carolina, Div Vasc Surg, Dept Surg, Charleston, SC 29425 USAMed Univ South Carolina, Div Vasc Surg, Dept Neurosurg, Charleston, SC 29425 USA
Wooster, Mathew D.
Varma, Abhay K.
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Med Univ South Carolina, Div Vasc Surg, Dept Neurosurg, Charleston, SC 29425 USAMed Univ South Carolina, Div Vasc Surg, Dept Neurosurg, Charleston, SC 29425 USA