Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

A Case Report of Large Schwannoma Arising in Sciatic Nerve

좌골신경에서 발생한 거대 신경초종의 치험례

  • Park, Ji Hun (Department of plastic & reconstructive surgery, College of medicine, Eulji University) ;
  • Yang, Ho Jik (Department of plastic & reconstructive surgery, College of medicine, Eulji University) ;
  • Kim, Jong Hwan (Department of plastic & reconstructive surgery, College of medicine, Eulji University) ;
  • Jeong, Tae Kwang (Department of plastic & reconstructive surgery, College of medicine, Eulji University) ;
  • Lee, Hye Kyung (Department of pathology, College of medicine, Eulji University)
  • 박지훈 (을지대학교병원 성형외과학교실) ;
  • 양호직 (을지대학교병원 성형외과학교실) ;
  • 김종환 (을지대학교병원 성형외과학교실) ;
  • 정태광 (을지대학교병원 성형외과학교실) ;
  • 이혜경 (을지대학교병원 병리학교실)
  • Published : 2009.11.15
⟨ Previous Next ⟩

Abstract

Purpose: Schwannoma is one of common neoplasm in the central and peripheral nervous systems. However, schwannoma of sciatic nerve is rare, especially large schwannoma arising in sciatic nerve is extremely rare. This is a report of our experience with large schwannoma arising in sciatic nerve with minimal neurologic symptoms. Methods: A 65 - year - old man presented with palpable mass in middle portion of posterior thigh. No definitive neurologic deficits were detected on physical examinations. CT and sonography showed well - defined mass with large dimension. The mass was excised and confirmed histologically as a schwannoma. In postoperative period, NCS and EMG were followed. Results: The patient complained of difficulty in dorsiflexion of ipsilateral ankle joint postoperatively. NCS and EMG obtained immediately and showed sciatic neuropathy. After 2 months postoperatively, NCS and EMG were followed and abnormal findings of previous NCS and EMG were not found. Dorsiflexion of ankle joint was improved to normal range of motion. Conclusion: We report a rare case of large schwannoma arising in sciatic nerve with no definitive neurologic symptoms.

Keywords

References

  1. Yoo G, Byeon JH, Rhie JW, Cho MJ: A case of neurilemmomatosis(schwannomatosis). J Korean Soc Plast Reconstr Surg 22: 670, 1995
  2. Park WJ, Rhee SK, Kang YK, Lee AH: Schwannoma of the Extremities. J Korean Bone Joint Tumor Soc 9: 148, 2003
  3. Park NK, Lee JH, Kim DS, Y JH, Cho IH: Posterior tibial neuropathy by schwannoma in midthigh. J Korean Assoc EMG-Electrogiagn Med 7: 139, 2005
  4. Rockwell GM, Thoma A, Salama S: Schwannoma of the hand and wrist. Plast Reconstr Surg 111: 1227, 2003 https://doi.org/10.1097/01.PRS.0000046039.28526.1A
  5. Prusick VR, Herkowitz HN, Davidson DD, Stambough JL, Rothman RH: Sciatica from a sciatic neurilemoma: A case report and review of the literature. J Bone Joint Surg Am 68: 1456, 1986 https://doi.org/10.2106/00004623-198668090-00026
  6. Feinberg J, Sethi S: Sciatic neuropathy: Case report and discussion of the literature on postoperative sciatic neuropathy and sciatic nerve tumors. HSS J 2: 181, 2006 https://doi.org/10.1007/s11420-006-9018-z
  7. Thiebot J, Laissy JP, Delangre T, Biga N, Liotard A: Benign solitary neurinomas of the sciatic popliteal nerves CT study. Neuroradiology 33: 186, 1991 https://doi.org/10.1007/BF00588267