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168508

Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain

Article

Last updated: 04 Jan 2025

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Subjects

-

Tags

Surgery

Abstract

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.

DOI

10.21608/ijma.2021.71247.1294

Keywords

schwannoma, Mid back pain, Post-herpetic Neuralgia, Peripheral nerves

Authors

First Name

Shahidul

Last Name

Khan

MiddleName

Islam

Affiliation

Consultant, Department of Orthopedic surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

Email

sikhan55@yahoo.com

City

-

Orcid

-

First Name

Nazmin

Last Name

Ahmed

MiddleName

-

Affiliation

Consultant, Neurosurgery, Ibn Sina Diagnostic and Consultation Center, Lalbag, Dhaka, Bangladesh

Email

nazmin.bsmmu@gmail.com

City

-

Orcid

-

First Name

Mahamud

Last Name

Mannan

MiddleName

-

Affiliation

Consultant, Department of Orthopedic surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

Email

eshaanrafan@gmail.com

City

-

Orcid

-

First Name

K M Atiqul

Last Name

Islam

MiddleName

-

Affiliation

Assistant Registrar, Department of Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh

Email

kazidmc@gmail.com

City

-

Orcid

-

First Name

Gianluca

Last Name

Scalia

MiddleName

-

Affiliation

Neurosurgery Unit, Highly Specialized Hospital and National Importance, Garibaldi, Catania, Italy

Email

gianluca.scalia@outlook.it

City

-

Orcid

-

First Name

Santino Ottavio

Last Name

Tomasi

MiddleName

-

Affiliation

Department of Neurological Surgery, Christian Doppler Medical Centre, Laboratory for Microsurgical Neuroanatomy, Paracelsus Medical University, Salzburg, Austria

Email

ottavio.tomasi@gmail.com

City

-

Orcid

-

First Name

Vishal

Last Name

Chavda

MiddleName

K

Affiliation

Division of Anesthesia, Sardar Women Hospital, Bapunagar, Ahmedabad, India

Email

chavdavishal2@gmail.com

City

-

Orcid

-

First Name

Giuseppe E.

Last Name

Umana

MiddleName

-

Affiliation

Department of Neurosurgery, Trauma and Gamma Knief Centre, Cannizzaro Hospital, Catania, Italy

Email

umana.nch@gmail.com

City

-

Orcid

-

First Name

Bipin

Last Name

Chaurasia

MiddleName

-

Affiliation

Consultant, Department of Neurosurgery, Bhawani Hospital and Research Centre, Birgunj, Nepal

Email

trozexa@gmail.com

City

-

Orcid

0000-00002-8392-2072

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-04-05

Publish Date

2021-07-01

Page Start

1,494

Page End

1,499

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1494-1499.pdf

PDF . 3.3MB

Link

https://ijma.journals.ekb.eg/article_168508.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=168508

Order

1

Type

Case Report

Type Code

819

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain

Details

Type

Article

Created At

22 Jan 2023