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坐骨神经痛的罕见病因：坐骨神经鞘瘤——1例亚临床病程长且表现具有误导性的病例报告

A rare cause of sciatica: Sciatic nerve schwannoma - Report of one case with long subclinical course and misleading presentation.

作者信息

Maes Renaud, Ledoux Pascal, de Brouckere Grégoire

机构信息

Centre Hospitalier EpiCURA Baudour, 7331 Baudour, Belgium.

出版信息

SICOT J. 2020;6:16. doi: 10.1051/sicotj/2020005. Epub 2020 Jun 8.

DOI:10.1051/sicotj/2020005
PMID:32508302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7278216/
Abstract

The authors report one case of schwannoma located in the sciatic nerve, just above the popliteal fossa. A sciatic localization is rare, observed in 1% of the patients. The misleading clinical presentation of this localization causes a delay in diagnosis. Magnetic Resonance Imaging (MRI) is the imaging modality of choice, but the final diagnosis is made by the histological examination of the tumor. Schwannoma should be surgically removed without division of the nerve trunk.

摘要

作者报告了一例位于坐骨神经、腘窝上方的施万细胞瘤。坐骨神经部位的肿瘤较为罕见，仅在1%的患者中观察到。这种部位的临床表现具有误导性，会导致诊断延迟。磁共振成像（MRI）是首选的成像方式，但最终诊断需通过肿瘤的组织学检查来确定。施万细胞瘤应通过手术切除，且不切断神经干。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/b145cd780fba/sicotj-6-16-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/dbba8611ead6/sicotj-6-16-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/2371c71a0cde/sicotj-6-16-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/f2a1004d53d5/sicotj-6-16-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/9fa13b70c9cd/sicotj-6-16-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/cbba2839c776/sicotj-6-16-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/b145cd780fba/sicotj-6-16-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/dbba8611ead6/sicotj-6-16-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/2371c71a0cde/sicotj-6-16-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/f2a1004d53d5/sicotj-6-16-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/9fa13b70c9cd/sicotj-6-16-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/cbba2839c776/sicotj-6-16-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d94/7278216/b145cd780fba/sicotj-6-16-fig6.jpg

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Plexiform schwannomas of the sciatic nerve:a case report and review of the literature.坐骨神经丛状神经鞘瘤：一例报告并文献复习
Heliyon. 2023 Jul 6;9(7):e18020. doi: 10.1016/j.heliyon.2023.e18020. eCollection 2023 Jul.
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