Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Neurilemmoma of Deep Peroneal Nerve Sensory Branch : Thermographic Findings with Compression Test

  • Ryu, Seung Jun (Department of Neurosurgery, Severance Hospital, Yonsei University College of Medicine) ;
  • Zhang, Ho Yeol (Department of Neurosurgery, National Health Insurance Corporation Ilsan Hospital, Yonsei University College of Medicine)
  • Received : 2014.02.21
  • Accepted : 2014.08.13
  • Published : 2015.10.28
Download PDF
⟨ Previous Next ⟩

Abstract

We report a case of neurilemmoma of deep peroneal nerve sensory branch that triggered sensory change with compression test on lower extremity. After resection of tumor, there are evoked thermal changes on pre- and post-operative infrared (IR) thermographic images. A 52-year-old female presented with low back pain, sciatica, and sensory change on the dorsal side of the right foot and big toe that has lasted for 9 months. She also presented with right tibial mass sized 1.2 cm by 1.4 cm. Ultrasonographic imaging revealed a peripheral nerve sheath tumor arising from the peroneal nerve. IR thermographic image showed hyperthermia when the neurilemoma induced sensory change with compression test on the fibular area, dorsum of foot, and big toe. After surgery, the symptoms and thermographic changes were relieved and disappeared. The clinical, surgical, radiographic, and thermographic perspectives regarding this case are discussed.

Keywords

References

  1. Byun JH, Hong JT, Son BC, Lee SW : Schwannoma of the superficial peroneal nerve presenting as sciatica. J Korean Neurosurg Soc 38 : 306-308, 2005
  2. Cho YE, Kim YS, Zhang HY : Clinical efficacy of digital infrared thermographic imaging in multiple lumbar disc herniations. J Korean Neurosurg Soc 27 : 237-245, 1998
  3. De Vita VT, Hellman S, Rosenberg SA : Cancer : Principle and Practice of Oncology. Philadelphia : Lippincott-Raven, 1997, pp964-965
  4. Gross D : Pain and the autonomic nervous system in Bonica JJ (ed) : Advances in neurology. New York : Raven Press, 1974, Vol 4, pp93-104
  5. Kim DH, Kline DG : Management and results of peroneal nerve lesions. Neurosurgery 39 : 312-319; discussion 319-320, 1996 https://doi.org/10.1097/00006123-199608000-00014
  6. Kim YS, Cho YE, Zhang HY : Thermatomes of the lumbosacral nerve roots. J Korean Neurosurg Soc 24 : 33-46, 1995
  7. Krauchi K, Wirz-Justice A : Circadian rhythm of heat production, heart rate, and skin and core temperature under unmasking conditions in men. Am J Physiol 267 (3 Pt 2) : R819-R829, 1994
  8. Lawson R : Implications of surface temperatures in the diagnosis of breast cancer. Can Med Assoc J 75 : 309-311, 1956
  9. Lin HP, Lin HY, Lin WL, Huang AC : Effects of stress, depression, and their interaction on heart rate, skin conductance, finger temperature, and respiratory rate : sympathetic-parasympathetic hypothesis of stress and depression. J Clin Psychol 67 : 1080-1091, 2011 https://doi.org/10.1002/jclp.20833
  10. Mahajan M, Sharma R, Sharma P, Gupta A : Schwannoma of superficial peroneal nerve presenting as leg pain. J Case Rep 2 : 79-82, 2012
  11. Maleux G, Brys P, Samson I, Sciot R, Baert AL : Giant schwannoma of the lower leg. Eur Radiol 7 : 1031-1034, 1997 https://doi.org/10.1007/s003300050247
  12. Matokovic D, Cesarik M, Drkulec V, Tomic Rajic M : Neurinoma of the superficial peroneal nerve-case report. Neurol Croat 59 : 3-4, 2010
  13. Milnes HL, Pavier JC : Schwannoma of the tibial nerve sheath as a cause of tarsal tunnel syndrome--a case study. Foot (Edinb) 22 : 243-246, 2012 https://doi.org/10.1016/j.foot.2012.03.005
  14. Odom RD, Overbeek TD, Murdoch DP, Hosch JC : Neurilemoma of the medial plantar nerve : a case report and literature review. J Foot Ankle Surg 40 : 105-109, 2001 https://doi.org/10.1016/S1067-2516(01)80052-1
  15. Oh JI, Park YK, Lim DJ, Chung HS, Lee KC, Lee HK : MRI diagnosis of a ganglion cyst of the peroneal nerve. J Korean Neurosurg Soc 26 : 1723-1726, 1997
  16. Sato A, Schmidt RF : Somatosympathetic reflexes : afferent fibers, central pathways, discharge characteristics. Physiol Rev 53 : 916-947, 1973 https://doi.org/10.1152/physrev.1973.53.4.916
  17. Spinner RJ, Atkinson JL, Tiel RL : Peroneal intraneural ganglia : the importance of the articular branch. A unifying theory. J Neurosurg 99 : 330-343, 2003 https://doi.org/10.3171/jns.2003.99.2.0330
  18. Uematsu S : Thermographic imaging of cutaneous sensory segment in patients with peripheral nerve injury. Skin-temperature stability between sides of the body. J Neurosurg 62 : 716-720, 1985 https://doi.org/10.3171/jns.1985.62.5.0716
  19. Wakisaka S, Kajander KC, Bennett GJ : Abnormal skin temperature and abnormal sympathetic vasomotor innervation in an experimental painful peripheral neuropathy. Pain 46 : 299-313, 1991 https://doi.org/10.1016/0304-3959(91)90113-C
  20. Zhang HY, Chin DK, Cho YE, Kim YS : Correlation between pain scale and infrared thermogram in lumbar disc herniations. J Korean Neurosurg Soc 28 : 253-258, 1999
  21. Zhang HY, Kim YS, Cho YE : Thermatomal changes in cervical disc herniations. Yonsei Med J 40 : 401-412, 1999 https://doi.org/10.3349/ymj.1999.40.5.401