Multiple Lower Extremity Mononeuropathies by Segmental Schwannomatosis: A Case Report

Kwon, Na Yeon; Oh, Hyun‐Mi; Ko, Young Jin

doi:10.5535/arm.2015.39.5.833

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…• Confusion with NF2, presumptive schwannomatosis, 4 and familial schwannomatosis [23][24][25] • Two studies 2,26 were performed before the release of the 2005 consensus statement, 1 and other studies did not ensure the patients met the criteria for definite schwannomatosis, particularly regarding the lack of systematic brain MRI to formally eliminate NF2, [26][27][28] being < 18 years of age at diagnosis, 25,[29][30][31][32][33] and the presence of intracranial lesions 34,35 • Two studies were original articles with no individual descriptive cases 1,36 Approximately 10 to 15% of patients with schwannomatosis have a family history. 17,37 The remaining 85 to 90% have sporadic disease.…”

Section: Discussionmentioning

confidence: 99%

Sporadic Schwannomatosis: A Systematic Review Following the 2005 Consensus Statement

Chick

Victor

Poujade

et al. 2018

J Neurol Surg A Cent Eur Neurosurg

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This systematic review quantified the number of individuals who meet the criteria for sporadic schwannomatosis and better described this population to facilitate the classification of neurofibromatosis in regard to the 2005 consensus statement. Unilateral or segmental distribution of nerve tumors are key aspects when dealing with multiple noncutaneous schwannomas without involvement of the vestibular nerve.

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Section: Discussionmentioning

confidence: 99%

Sporadic Schwannomatosis: A Systematic Review Following the 2005 Consensus Statement

Chick

Victor

Poujade

et al. 2018

J Neurol Surg A Cent Eur Neurosurg

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“…Takođe, u odnosu na švanomatozu, neurofibromatoza tip II predstavlja ozbiljno, progresivno oboljenje, koje neretko ugrožava život pacijenta 4 . Bol je čest simptom kod švanomatoze, dok se motorna slabost retko javlja 5 .…”

Section: Uvodunclassified

“…Bol je čest simptom kod švanomatoze, dok se motorna slabost retko javlja 5 . Shimoda et al opisali su slučaj izolovanog švanoma u regiji slabinskog mišića, koji je bio u kontaktu sa telima četvrtog i petog lumbalnog pršljena, bez zahvatanja foramena.…”

Section: Dijagnoza Kriterijumiunclassified

Multidisciplinary surgical approach in patient with schwannomatosis in the Clinical Hospital Center Zemun

Aleksić¹,

Špica²,

Benović³

et al. 2015

Mat Med

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Schwannomas are benign sheat tumors composed of Schwann cells, which are covering peripheral nervs. Althought schwannomas can be found in any localisation, retroperitoneal scheannomas are extremly rare. Multiple schwannomas (neurilemomas) can be part of neurofibromatosis type II, as well as schwannomatosis. Depending on tumor localization, disease symptoms differ. We present a patient with multiple spinal as well as peripheral schwannomas as a part of schwannomatosis. Patient was successfully operated in cooperation between general surgeon and neurosurgeon. ApstraktŠvanomi su tumori porekla Švanovih ćelija, koje učestviju u građi omotača perifernih nerava. Iako se švanomi mogu naći na bilo kojoj lokalizaciji, u retroperitonealnom prostoru su izuzetno retki. Multipli švanomi (raniji naziv: neurilemomi) mogu se naći u sklopu neurofibromatoze tip II, kao i u sklopu švanomatoze. U zavisnosti od lokalizacije švanoma, simtpomatologija je različita. Mi prikazujemo pacijenta sa multiplim spinalnim, ali i perifernim švanomima u sklopu švanomatoze, koji je u više navrata uspešno operisan multidisciplinarnim pristupom i saradnjom opšteg hirurga i neurohirurga. Ključne reči Švanomi; Neurofibromatoza UvodŠvanomi predstavljaju jednu od najčešćih solitarnih lezija 1 . Međutim, mogu se javiti i kao multiple lezije u sklopu bolesti kao što su neurofibromatoza i švanomatoza 2 , koje se karakterišu multiplim švanomima 3 . Za razliku od švanomatoze, kod neurofibromatoze tip II pored multiplih perifernih švanoma i spinalnih švanoma, javljaju se i bilateralni švanomi vestibularnih nerava. Takođe, u odnosu na švanomatozu, neurofibromatoza tip II predstavlja ozbiljno, progresivno oboljenje, koje neretko ugrožava život pacijenta 4 . Bol je čest simptom kod švanomatoze, dok se motorna slabost retko javlja 5 .Mi prikazujemo pacijenta sa multiplim spinalnim, ali i perifernim švanomima, koji je u više navrata uspešno operisan multidisciplinarnim pristupom i saradnjom opšteg hirurga i neurohirurga. Kod pacijenta se pored bola javila i motorna slabost mišića pokretača desnog stopala. Prikaz slučajaPrikazujemo pacijenta starosne dobi 47 godina koji se prvi put javio lekaru u svojoj 37 godini zbog bolova u donjem delu leđa, kao i duž spoljašnje strane desne butine. Nakon urađene magnetne rezonance torakalne i lumbo-sakralne kičme na kojoj je viđena tumorska formacija benignih karakteristika u nivou Th12 do L1 pacijent je upućen neurohirurgu, te je ubrzo operisan i odstranjena promena je patohistološki verifikovana kao švanom. Pacijent je nakon toga bio bez bolova uz laki osećaj trnjenja u desnoj butini. Tokom sledećih nekoliko

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“…The superior gluteal nerve and inferior gluteal nerves are rarely damaged in isolation except when there are iatrogenic causes. Total hip arthroplasty is reported as a frequent cause of superior gluteal nerve neuropathy, whereas trauma, iliac artery aneurysm, intraabdominal and intrapelvic masses, endometriosis, schwannoma, sports injuries, priformis muscle hypertrophy, or extracorporeal shock wave lithotripsy are seldom reasons (1,3,(4)(5)(6)(7)(8)(9). Patients with superior gluteal nerve injuries complain about burning, stinging and pain spreading to the hips, the lateral side of thighs and groin.…”

Section: Introductionmentioning

confidence: 99%

Isolated Superior Gluteal Nerve Mononeuropathy in Patient with Rheumatoid Arthritis

Ural¹,

Alptekin²,

Balci³

2017

JAREM

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Isolated mononeuritis multiplex may be rarely seen in patients with rheumatoid arthritis. Superior gluteal nerve palsies may result especially from iatrogenic causes, such as total hip arthroplasty operations. Patients complain of burning pain spreading to the lateral side of the thigh region. As our patient had bilateral hip dysplasia and rheumatoid arthritis at the same time, thorough examination was conducted with abdominal magnetic resonance imaging (MRI)'s, multiple electroneuromyography (ENMG) and laboratory studies. Malign illnesses such as aneurysms and tumoral lesions were eliminated. As the patient was diagnosed as mononeuritis multiplex due to Rheumatoid Arthritis, she began to use gabapentin 800 mg three times a day and alpha-lipoic acid 600 mg once a day for 6 months. In addition, she had a physical therapy cure with conventional Transcutaneous Electrical Nerve Stimulation (TENS), continuous Ultrasound (US), hot pack, strengthening and relaxation exercises for the lumbosacral region lasting for three weeks. Most of her complaints subsided after the treatment. Isolated superior gluteal nerve mononeuropathy due to rheumatoid arthritis is a rare presentation and should be thoroughly evaluated and followed for appropriate cures.

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Multiple Lower Extremity Mononeuropathies by Segmental Schwannomatosis: A Case Report

Cited by 6 publications

References 8 publications

Sporadic Schwannomatosis: A Systematic Review Following the 2005 Consensus Statement

Sporadic Schwannomatosis: A Systematic Review Following the 2005 Consensus Statement

Multidisciplinary surgical approach in patient with schwannomatosis in the Clinical Hospital Center Zemun

Isolated Superior Gluteal Nerve Mononeuropathy in Patient with Rheumatoid Arthritis

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