El Ghazoui A, Allaoui M, El Asraoui L, Zaddoug O
Department of Orthopedics and Trauma Surgery "I", Military Hospital of Instruction Mohammed V, FAR Avenue, 10100 Rabat, Morocco.
Department of Anatomopathology, Military Hospital of Instruction Mohammed V, FAR Avenue, 10100 Rabat, Morocco.
Int J Surg Case Rep. 2022 Jan;90:106603. doi: 10.1016/j.ijscr.2021.106603. Epub 2021 Nov 13.
Schwannoma is the most common benign nerve sheath tumor. Peripheral nerves of the lower extremity are rarely involved and usually asymptomatic.
We report the case of a misleading clinical presentation of lateral sural cutaneous nerve schwannoma.
To the best of our knowledge, no case has been reported about the location of schwannoma in the lateral sural cutaneous nerve. MRI and anatomopathologic assessment, after microscopic enucleation, are required to confirm diagnosis.
Care must be taken to not miss a schwannoma of lateral sural cutaneous nerve by meticulous clinical examination and appropriate imaging using MRI in unexplained L5 sciatica.
神经鞘瘤是最常见的良性神经鞘肿瘤。下肢周围神经很少受累，通常无症状。
我们报告一例腓肠外侧皮神经鞘瘤临床表现误导的病例。
据我们所知，尚未有关于神经鞘瘤位于腓肠外侧皮神经的病例报道。在显微镜下摘除肿瘤后，需要进行磁共振成像（MRI）和解剖病理学评估以确诊。
对于不明原因的L5神经根型坐骨神经痛，必须通过细致的临床检查和使用MRI进行适当的影像学检查，以免漏诊腓肠外侧皮神经鞘瘤。
