Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain
Khan, S., Ahmed, N., Mannan, M., Islam, K., Scalia, G., Tomasi, S., Chavda, V., Umana, G., Chaurasia, B. (2021). Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain. EKB Journal Management System, 3(3), 1494-1499. doi: 10.21608/ijma.2021.71247.1294
Shahidul Islam Khan; Nazmin Ahmed; Mahamud Mannan; K M Atiqul Islam; Gianluca Scalia; Santino Ottavio Tomasi; Vishal K Chavda; Giuseppe E. Umana; Bipin Chaurasia. "Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain". EKB Journal Management System, 3, 3, 2021, 1494-1499. doi: 10.21608/ijma.2021.71247.1294
Khan, S., Ahmed, N., Mannan, M., Islam, K., Scalia, G., Tomasi, S., Chavda, V., Umana, G., Chaurasia, B. (2021). 'Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain', EKB Journal Management System, 3(3), pp. 1494-1499. doi: 10.21608/ijma.2021.71247.1294
Khan, S., Ahmed, N., Mannan, M., Islam, K., Scalia, G., Tomasi, S., Chavda, V., Umana, G., Chaurasia, B. Intercostal Nerve Schwannoma As a Rare Cause of Refractory Mid Back Pain. EKB Journal Management System, 2021; 3(3): 1494-1499. doi: 10.21608/ijma.2021.71247.1294

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

International Journal of Medical Arts
Article 1, Volume 3, Issue 3, July 2021, Page 1494-1499  XML PDF (3.1 MB)
Document Type: Case Report
DOI: 10.21608/ijma.2021.71247.1294
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Authors
Shahidul Islam Khan1; Nazmin Ahmed2; Mahamud Mannan1; K M Atiqul Islam3; Gianluca Scalia4; Santino Ottavio Tomasi5; Vishal K Chavda6; Giuseppe E. Umana7; Bipin Chaurasia email orcid 8
1Consultant, Department of Orthopedic surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
2Consultant, Neurosurgery, Ibn Sina Diagnostic and Consultation Center, Lalbag, Dhaka, Bangladesh
3Assistant Registrar, Department of Neurosurgery, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh
4Neurosurgery Unit, Highly Specialized Hospital and National Importance, Garibaldi, Catania, Italy
5Department of Neurological Surgery, Christian Doppler Medical Centre, Laboratory for Microsurgical Neuroanatomy, Paracelsus Medical University, Salzburg, Austria
6Division of Anesthesia, Sardar Women Hospital, Bapunagar, Ahmedabad, India
7Department of Neurosurgery, Trauma and Gamma Knief Centre, Cannizzaro Hospital, Catania, Italy
8Consultant, Department of Neurosurgery, Bhawani Hospital and Research Centre, Birgunj, Nepal
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.
Keywords
Schwannoma; Mid Back Pain; Post-herpetic Neuralgia; Peripheral Nerves
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