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直肠指检时发现的一种罕见的坐骨神经痛病因：盆腔内坐骨切迹神经鞘瘤病例报告

A rare cause of sciatica discovered during digital rectal examination: case report of an intrapelvic sciatic notch schwannoma.

作者信息

Woo Peter Y M, Ho Jason M K, Ho Joanna W K, Mak Calvin H K, Wong Alain K S, Wong Hoi-Tung, Chan Kwong-Yau

机构信息

Department of Neurosurgery, Kwong Wah Hospital , Hong Kong , Hong Kong.

出版信息

Br J Neurosurg. 2019 Oct;33(5):562-565. doi: 10.1080/02688697.2017.1378801. Epub 2017 Sep 14.

DOI:10.1080/02688697.2017.1378801
PMID:28906149
Abstract

Intrapelvic sciatic nerve schwannomas are rare causes for non-discogenic sciatica. We describe a 44-year-old female who had a palpable mass on digital rectal examination that exhibited a positive Tinel's sign. The schwannoma was excised by a posterior transgluteal approach. Patients with negative spinal imaging should undergo pelvic scanning to rule out these tumors.

摘要

盆腔内坐骨神经鞘瘤是导致非椎间盘源性坐骨神经痛的罕见原因。我们描述了一名44岁女性，其直肠指检可触及肿块，Tinel征阳性。该神经鞘瘤通过后经臀入路切除。脊柱影像学检查阴性的患者应进行盆腔扫描以排除这些肿瘤。

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A rare cause of sciatica discovered during digital rectal examination: case report of an intrapelvic sciatic notch schwannoma.直肠指检时发现的一种罕见的坐骨神经痛病因：盆腔内坐骨切迹神经鞘瘤病例报告
Br J Neurosurg. 2019 Oct;33(5):562-565. doi: 10.1080/02688697.2017.1378801. Epub 2017 Sep 14.
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