A giant presacral schwannoma – Surgical considerations with an illustrative case and review of the literature
Year: 2025
Type: article
Study design: Case Report
Abstract: Background: Giant solitary pelvic schwannomas are rare, benign nerve sheath tumors that can present with diverse neurological and systemic symptoms. Early recognition and careful planning are essential for optimal outcomes. Case Description: An 18-year-old male presented with low back/left leg pain, constipation, and intermittent left scrotal discomfort. He had previously mistakenly undergone surgery for suspected left testicular torsion. His magnetic resonance imaging revealed a large 10 cm cystic lesion with a solid component arising from the left S2 nerve root. He underwent a two-staged posterior followed by an anterior approach for total excision of a histopathologically confirmed World Health Organization Grade 1 schwannoma. Postoperatively, he retained intact motor, sensory function and preservation of bladder and largely sexual function. Conclusion: Pelvic schwannomas may mimic other clinical conditions. Here, total excision of such a lesion was successfully accomplished.
Source: Surgical Neurology International
Authors: Nandu Krishnan Radhakrishnakurup, Carol Susan George, Sayan Biswas, K. Joshi George
Institution: Salford Royal Hospital
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4415730655