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KERD
논문KCI 등재

후경골 신경에서 기인한 신경초종의 재발로 발생한 족근관 증후군

Tarsal Tunnel Syndrome Secondary to Recurred Schwannoma Arising from the Posterior Tibial Nerve

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초록

Tarsal tunnel syndrome is defined as a compressive neuropathy of the posterior tibial nerve in the tarsal canal. Schwannoma is a benigntumor that arises from the peripheral nerve sheath. It presents as a discrete, often tender, and palpable nodule associated with neurogenicpain or paresthesia when compressed or traumatized. The growth rate is usually slow, and these lesions seldom exceed 2 cm in diameter. In addition, local recurrence occurs less than 5%. We report on a case of tarsal tunnel syndrome caused by a large recurred spaceoccupyinglesion measuring 4.3×2.7×2.7 cm3.

Abstract

Tarsal tunnel syndrome is defined as a compressive neuropathy of the posterior tibial nerve in the tarsal canal. Schwannoma is a benigntumor that arises from the peripheral nerve sheath. It presents as a discrete, often tender, and palpable nodule associated with neurogenicpain or paresthesia when compressed or traumatized. The growth rate is usually slow, and these lesions seldom exceed 2 cm in diameter. In addition, local recurrence occurs less than 5%. We report on a case of tarsal tunnel syndrome caused by a large recurred spaceoccupyinglesion measuring 4.3×2.7×2.7 cm3.

참고문헌 (9)

  1. Boya H, "Tarsal tunnel syndrome associated with a neurilemoma in posterior tibial nerve : a case report", Foot(Edinb), 18, pp.174~177 (2008)
  2. Grossman MR, "Neurilemmoma of the posterior tibial nerve with an uncommon case presentation", J Foot Surg, 31, pp.219~224 (1992)
  3. Miranpuri S, "Neurilemoma of the posterior tibial nerve and tarsal tunnel syndrome", J Am Podiatr Med Assoc, 97, pp.148~150 (2007)
  4. Kwag SY, "Tarsal tunnel syndrome caused by neurilemoma of the posterior tibial nerve", J Korean Orthop Assoc, 13, pp.57~59 (1978)
  5. Kwon JH, "Peripheral nerve sheath tumor of the medial plantar nerve without tarsal tunnel syndrome: a case report", J Foot Ankle Surg, 48, pp.477~482 (2009)
  6. Belding RH, "Neurilemoma of the lateral plantar nerve producing tarsal tunnel syndrome : a case report", Foot Ankle, 14, pp.289~291 (1993)
  7. Bailie DS, "Tarsal tunnel syndrome : diagnosis, surgi cal technique, and functional outcome", Foot Ankle Int, 19, pp.65~72 (1998)
  8. Varma DG, "MR imaging of extracranial nerve sheath tumors", J Comput Assist Tomogr, 16, pp.448~453 (1992)
  9. Choi JO, "US findings of neurilemmoma of the extremities: pathologic correlation", J Korean Soc Med Ultrasound, 18, pp.221~226 (1999)

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