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Title: Sciatica in a patient with unusual peripheral nerve sheath tumors. Author: Kralick F, Koenigsberg R. Journal: Surg Neurol; 2006 Dec; 66(6):634-7. PubMed ID: 17145335. Abstract: BACKGROUND: Other causes such as peripheral schwannomas can mimic lumbar disk disease. CASE DESCRIPTION: We present an unusual case of multiple nerve sheath tumors in a patient with left radicular leg pain accompanied by a Tinel sign. Initial lumbar MR imaging revealed a mass in the right lumbar plexus, side opposite the patient's symptoms. Magnetic resonance neurography subsequently revealed a compressive mass of the sciatic nerve proximal to the popliteal fossa, histologically identified as a schwannoma. CONCLUSION: This case emphasizes the importance of continued investigation when the radiographic findings do not correlate with the patient's history in the presence of localizing signs on physical examination.[Abstract] [Full Text] [Related] [New Search]