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Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature

Sciatica is commonly caused by lumbar prolapsed intervertebral disc (PID) and other spinal lesions. Uncommon causes like nerve root schwannoma are rarely considered in the differential diagnosis of sciatica. Spinal schwannomas occur both sporadically and in association with neurofibromatosis type 1...

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Detalles Bibliográficos
Autores principales: Rustagi, Tarush, Badve, Siddharth, Parekh, Aseem N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504226/
https://www.ncbi.nlm.nih.gov/pubmed/23259107
http://dx.doi.org/10.1155/2012/142143
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author Rustagi, Tarush
Badve, Siddharth
Parekh, Aseem N.
author_facet Rustagi, Tarush
Badve, Siddharth
Parekh, Aseem N.
author_sort Rustagi, Tarush
collection PubMed
description Sciatica is commonly caused by lumbar prolapsed intervertebral disc (PID) and other spinal lesions. Uncommon causes like nerve root schwannoma are rarely considered in the differential diagnosis of sciatica. Spinal schwannomas occur both sporadically and in association with neurofibromatosis type 1 (NF1; von Recklinghausen's disease). This case report describes lumbar foraminal schwannoma as an unusual cause of radiculopathy, presenting clinically as a lumbar disc prolapse. The diagnosis was confirmed on MRI scan. Patient had complete symptomatic recovery following surgical enucleation of the tumour mass from the L5 nerve root. This case report is of particular interest as it highlights the diagnostic confusion, which is bound to arise, because the clinical presentation closely mimics a lumbar PID. This often leads to delay in diagnosis and “failure of conservative treatment.”
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spelling pubmed-35042262012-12-20 Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature Rustagi, Tarush Badve, Siddharth Parekh, Aseem N. Case Rep Orthop Case Report Sciatica is commonly caused by lumbar prolapsed intervertebral disc (PID) and other spinal lesions. Uncommon causes like nerve root schwannoma are rarely considered in the differential diagnosis of sciatica. Spinal schwannomas occur both sporadically and in association with neurofibromatosis type 1 (NF1; von Recklinghausen's disease). This case report describes lumbar foraminal schwannoma as an unusual cause of radiculopathy, presenting clinically as a lumbar disc prolapse. The diagnosis was confirmed on MRI scan. Patient had complete symptomatic recovery following surgical enucleation of the tumour mass from the L5 nerve root. This case report is of particular interest as it highlights the diagnostic confusion, which is bound to arise, because the clinical presentation closely mimics a lumbar PID. This often leads to delay in diagnosis and “failure of conservative treatment.” Hindawi Publishing Corporation 2012 2012-01-15 /pmc/articles/PMC3504226/ /pubmed/23259107 http://dx.doi.org/10.1155/2012/142143 Text en Copyright © 2012 Tarush Rustagi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rustagi, Tarush
Badve, Siddharth
Parekh, Aseem N.
Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature
title Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature
title_full Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature
title_fullStr Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature
title_full_unstemmed Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature
title_short Sciatica from a Foraminal Lumbar Root Schwannoma: Case Report and Review of Literature
title_sort sciatica from a foraminal lumbar root schwannoma: case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3504226/
https://www.ncbi.nlm.nih.gov/pubmed/23259107
http://dx.doi.org/10.1155/2012/142143
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