Article Text

Download PDFPDF
CASE REPORT
Management and patients perspective regarding a common peroneal nerve schwannoma: a rare cause of lower leg pain in a young individual
  1. Aniek PM van Zantvoort1,
  2. Paul Cuppen2,
  3. Marc R Scheltinga1
  1. 1Department of Surgery, Máxima Medisch Centrum, Veldhoven, Noord Brabant, The Netherlands
  2. 2Department of Musculoskeletal Medicine, Cheiron Medisch Centrum Waalre, Waalre, Noord Brabant, The Netherlands
  1. Correspondence to Aniek PM van Zantvoort, aniekvanzantvoort{at}hotmail.com

Summary

The differential diagnosis of exercise-induced lower leg pain in young individuals is extensive and includes entities such as chronic exertional compartment syndrome, popliteal arterial entrapment syndrome, cystic adventitial disease, medial tibial stress syndrome and tibial stress fractures. Peripheral nerve-related lower leg pain syndromes are unusual. We present a 41-year-old woman who was diagnosed with an ancient schwannoma of the right common peroneal nerve (CPN) as a rare cause of lower leg pain. This case report provides simple diagnostic bedside tools that may be used to diagnose CPN abnormalities. Altered lateral lower leg skin sensation was found using a simple cotton swab, whereas a nodule was palpated at the fibular head. A positive Tinel sign indicated CPN dysfunction. MRI confirmed the diagnosis. Surgical resection is simple and curative.

  • pain
  • neurology
  • peripheral nerve disease
  • Surgery, sports and exercise medicine
View Full Text

Statistics from Altmetric.com

Footnotes

  • Handling editor Seema Biswas

  • Contributor PC and MS contributed to the diagnosis and management of this patient. PC, MS and AVZ all contributed to the writing of this article.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.