Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain
Background: Schwannoma is the most common neurogenic tumor of the posterior mediastinum. Though commonly become asymptomatic, back pain with intercostal neuralgia mimicking post herpetic neuralgia is rare presentation and infrequently found in the available literature. Case description: Here, we...
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| Format: | Article |
| Language: | English |
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Al-Azhar University, Faculty of Medicine (Damietta)
2021-07-01
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| Series: | International Journal of Medical Arts |
| Subjects: | |
| Online Access: | https://ijma.journals.ekb.eg/article_168508_17fa8c6786653b4fcf560d18f78fa446.pdf |
| _version_ | 1818682500029874176 |
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| author | Shahidul Khan Nazmin Ahmed Mahamud Mannan K M Atiqul Islam Gianluca Scalia Santino Ottavio Tomasi Vishal Chavda Giuseppe E. Umana Bipin Chaurasia |
| author_facet | Shahidul Khan Nazmin Ahmed Mahamud Mannan K M Atiqul Islam Gianluca Scalia Santino Ottavio Tomasi Vishal Chavda Giuseppe E. Umana Bipin Chaurasia |
| author_sort | Shahidul Khan |
| collection | DOAJ |
| description | Background: Schwannoma is the most common neurogenic tumor of the posterior mediastinum. Though commonly become asymptomatic, back pain with intercostal neuralgia mimicking post herpetic neuralgia is rare presentation and infrequently found in the available literature. Case description: Here, we report a 22-year-old female without any history of trauma, surgery or infection presented with midback pain with radiation towards the right 10th intercostal space. Although clinical evaluation simulates the features of post herpetic neuralgia, she was mildly responsive to traditional conservative treatment. Later on, magnetic resonance imaging [MRI] was performed to rule out the neoplastic cause which ultimately revealed Schwannoma of the right 10th intercostal nerve. Patient symptomatically get well after complete removal of tumor. Beside this, we also briefly review the clinical presentation, neuroimaging features, different surgical options and outcome from the pertinent literature. Conclusion: This report emphasizes early radiological evaluation of dull aching resting pain to avoid unnecessary medications to prolong duration. |
| first_indexed | 2024-12-17T10:19:49Z |
| format | Article |
| id | doaj.art-c0cde0d6ac58417cb97df24e19a51a5b |
| institution | Directory Open Access Journal |
| issn | 2636-4174 2682-3780 |
| language | English |
| last_indexed | 2024-12-17T10:19:49Z |
| publishDate | 2021-07-01 |
| publisher | Al-Azhar University, Faculty of Medicine (Damietta) |
| record_format | Article |
| series | International Journal of Medical Arts |
| spelling | doaj.art-c0cde0d6ac58417cb97df24e19a51a5b2022-12-21T21:52:50ZengAl-Azhar University, Faculty of Medicine (Damietta)International Journal of Medical Arts2636-41742682-37802021-07-01331494149910.21608/ijma.2021.71247.1294168508Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back PainShahidul Khan0Nazmin Ahmed1Mahamud Mannan2K M Atiqul Islam3Gianluca Scalia4Santino Ottavio Tomasi5Vishal Chavda6Giuseppe E. Umana7Bipin Chaurasia8Consultant, Department of Orthopedic surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshConsultant, Neurosurgery, Ibn Sina Diagnostic and Consultation Center, Lalbag, Dhaka, BangladeshConsultant, Department of Orthopedic surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshAssistant Registrar, Department of Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, BangladeshNeurosurgery Unit, Highly Specialized Hospital and National Importance, Garibaldi, Catania, ItalyDepartment of Neurological Surgery, Christian Doppler Medical Centre, Laboratory for Microsurgical Neuroanatomy, Paracelsus Medical University, Salzburg, AustriaDivision of Anesthesia, Sardar Women Hospital, Bapunagar, Ahmedabad, IndiaDepartment of Neurosurgery, Trauma and Gamma Knief Centre, Cannizzaro Hospital, Catania, ItalyConsultant, Department of Neurosurgery, Bhawani Hospital and Research Centre, Birgunj, NepalBackground: Schwannoma is the most common neurogenic tumor of the posterior mediastinum. Though commonly become asymptomatic, back pain with intercostal neuralgia mimicking post herpetic neuralgia is rare presentation and infrequently found in the available literature. Case description: Here, we report a 22-year-old female without any history of trauma, surgery or infection presented with midback pain with radiation towards the right 10th intercostal space. Although clinical evaluation simulates the features of post herpetic neuralgia, she was mildly responsive to traditional conservative treatment. Later on, magnetic resonance imaging [MRI] was performed to rule out the neoplastic cause which ultimately revealed Schwannoma of the right 10th intercostal nerve. Patient symptomatically get well after complete removal of tumor. Beside this, we also briefly review the clinical presentation, neuroimaging features, different surgical options and outcome from the pertinent literature. Conclusion: This report emphasizes early radiological evaluation of dull aching resting pain to avoid unnecessary medications to prolong duration.https://ijma.journals.ekb.eg/article_168508_17fa8c6786653b4fcf560d18f78fa446.pdfschwannomamid back painpost-herpetic neuralgiaperipheral nerves |
| spellingShingle | Shahidul Khan Nazmin Ahmed Mahamud Mannan K M Atiqul Islam Gianluca Scalia Santino Ottavio Tomasi Vishal Chavda Giuseppe E. Umana Bipin Chaurasia Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain International Journal of Medical Arts schwannoma mid back pain post-herpetic neuralgia peripheral nerves |
| title | Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain |
| title_full | Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain |
| title_fullStr | Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain |
| title_full_unstemmed | Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain |
| title_short | Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain |
| title_sort | intercostal nerve schwannoma as a rare cause of refractory mid back pain |
| topic | schwannoma mid back pain post-herpetic neuralgia peripheral nerves |
| url | https://ijma.journals.ekb.eg/article_168508_17fa8c6786653b4fcf560d18f78fa446.pdf |
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