Giant sacral schwannoma excised under intraoperative neuromonitoring in an elderly patient: case report.


Journal

Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 11 09 2021
accepted: 21 09 2021
entrez: 4 11 2021
pubmed: 5 11 2021
medline: 5 11 2021
Statut: epublish

Résumé

Schwannomas are mainly benign tumors arising from the Schwann cells of the peripheral nerve sheath. These tumors can often be associated with non-specific symptoms, such as abdominal heaviness. In this article, we present a detailed description of the surgical management of a giant sacral schwannoma in an elderly patient, for which intraoperative neuromonitoring made it possible to distinguish easily the nerves of the sacral plexus from which the tumor originated and to remove it without complications. Treatment of these rare and symptomatic giant tumors is still a challenge for surgeons; to treat adequately these tumors; a multidisciplinary approach is required to ensure an optimal therapeutic approach to reduce the risk of recurrence and, on the other hand, is not associated with unnecessary iatrogenic neurological damage.

Identifiants

pubmed: 34733472
doi: 10.1093/jscr/rjab460
pii: rjab460
pmc: PMC8560204
doi:

Types de publication

Case Reports

Langues

eng

Pagination

rjab460

Informations de copyright

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021.

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Auteurs

Michele R Colonna (MR)

Department of Human Pathology of the Adult, the Child and the Adolescent, University of Messina, Messina, Italy.

Alfio L Costa (AL)

Department of Human Pathology of the Adult, the Child and the Adolescent, University of Messina, Messina, Italy.

Claudio Mastrojeni (C)

Unit of Vascular Surgery, CardioVascular and Thoracic Department, University of Messina, Messina, Italy.

Vincenzo Rizzo (V)

Department of Clinical and Sperimental Medicine, University of Messina, Messina, Italy.

Giuseppe Nirta (G)

U.O.C. Radiodiagnostic, University of Messina, Messina, Italy.

Filippo F Angileri (FF)

Division of Neurosurgery, BIOMORF Department, University of Messina, Messina, Italy.

Antonio Ieni (A)

Departmant of Human Patology, Messina University Medical School Hospital, Messina, Italy.

Erica Milone (E)

Departmant of Human Patology, Messina University Medical School Hospital, Messina, Italy.

Antonio Macrì (A)

Departmant of Human Patology, Messina University Medical School Hospital, Messina, Italy.

Classifications MeSH