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Sciatica due to Schwannoma at the Sciatic Notch.

Yavuz Haspolat¹, Feyza Unlu Ozkan, Ismail Turkmen

¹Department of Plastic and Reconstructive Surgery, Istanbul Medeniyet University Goztepe Training and Research Hospital, 34732 Istanbul, Turkey.

Case Reports in Orthopedics

|June 14, 2013

Summary

Schwannomas on the sciatic nerve are rare and can cause sciatica. This case report details a unique sciatic nerve schwannoma successfully treated with surgical excision, resolving patient symptoms.

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Area of Science:

Neurology
Oncology
Surgical Case Reports

Background:

Schwannomas are typically benign nerve sheath tumors.
Sciatic nerve schwannomas are exceptionally rare, often presenting with sciatica symptoms.

Purpose of the Study:

To report an unusual case of sciatic nerve schwannoma.
To highlight the diagnostic and therapeutic approach for this rare condition.

Main Methods:

A 60-year-old male presented with thigh pain and foot paresthesia.
Radiographic imaging identified a solitary sciatic nerve lesion.
Surgical excision of the sciatic nerve lesion was performed.

Main Results:

The lesion was confirmed as a schwannoma.
Post-operative recovery was uneventful.
The patient's sciatica symptoms resolved completely after surgery.

Conclusions:

Schwannoma is a rare but treatable cause of sciatica.
Surgical excision is an effective treatment for sciatic nerve schwannomas.
Early diagnosis and intervention lead to favorable outcomes.