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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Autores principales: Tarek ElEmam, Mohamed Hasan, Mohamed ElSebaey
Formato: article
Lenguaje:EN
Publicado: Egyptian Spine Association 2018
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spelling oai:doaj.org-article:5fa681f5e2524d558642f252279486282021-12-02T06:44:52ZNeglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature ReviewDOI:10.21608/ESJ.2018.112432314-89502314-8969https://doaj.org/article/5fa681f5e2524d558642f252279486282018-04-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_11243.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background 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)Tarek ElEmamMohamed HasanMohamed ElSebaeyEgyptian Spine AssociationarticleSchwannomasciatic nervesciaticaNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 26, Iss 1, Pp 48-52 (2018)
institution DOAJ
collection DOAJ
language EN
topic Schwannoma
sciatic nerve
sciatica
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Schwannoma
sciatic nerve
sciatica
Neurology. Diseases of the nervous system
RC346-429
Tarek ElEmam
Mohamed Hasan
Mohamed ElSebaey
Neglected Giant Schwannoma of the Sciatic Nerve. Case Report and Literature Review
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)
format article
author Tarek ElEmam
Mohamed Hasan
Mohamed ElSebaey
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
publishDate 2018
url https://doaj.org/article/5fa681f5e2524d558642f25227948628
work_keys_str_mv AT tarekelemam neglectedgiantschwannomaofthesciaticnervecasereportandliteraturereview
AT mohamedhasan neglectedgiantschwannomaofthesciaticnervecasereportandliteraturereview
AT mohamedelsebaey neglectedgiantschwannomaofthesciaticnervecasereportandliteraturereview
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