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

Abstract 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 s...

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Bibliographic Details
Published in:Journal of surgical case reports 2021-10, Vol.2021 (10)
Main Authors: Colonna, Michele R, Costa, Alfio L, Mastrojeni, Claudio, Rizzo, Vincenzo, Nirta, Giuseppe, Angileri, Filippo F, Ieni, Antonio, Milone, Erica, Macrì, Antonio
Format: Article
Language:English
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Case Report
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Summary:Abstract 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.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjab460