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Ryu SJ, Zhang HY. Neurilemmoma of Deep Peroneal Nerve Sensory Branch : Thermographic Findings with Compression Test. J Korean Neurosurg Soc. 2015;58(3):286-90doi: 10.3340/jkns.2015.58.3.286.
Ryu, S. J., & Zhang, H. Y. (2015). Neurilemmoma of Deep Peroneal Nerve Sensory Branch : Thermographic Findings with Compression Test. Journal of Korean Neurosurgical Society, 58(3), 286-90. https://doi.org/10.3340/jkns.2015.58.3.286
Ryu, Seung Jun, and Zhang, Ho Yeol. "Neurilemmoma of Deep Peroneal Nerve Sensory Branch : Thermographic Findings with Compression Test." Journal of Korean Neurosurgical Society vol. 58,3 (2015): 286-90. doi: https://doi.org/10.3340/jkns.2015.58.3.286
Ryu SJ, Zhang HY. Neurilemmoma of Deep Peroneal Nerve Sensory Branch : Thermographic Findings with Compression Test. J Korean Neurosurg Soc. 2015 Sep;58(3):286-90. doi: 10.3340/jkns.2015.58.3.286. Epub 2015 Sep 30. PMID: 26539275; PMCID: PMC4630363.
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J Korean Neurosurg Soc. 2015 Sep;58(3):286-90. doi: 10.3340/jkns.2015.58.3.286. Epub 2015 Sep 30.

Neurilemmoma of Deep Peroneal Nerve Sensory Branch : Thermographic Findings with Compression Test.

Journal of Korean Neurosurgical Society

Seung Jun Ryu, Ho Yeol Zhang

Affiliations

  1. Department of Neurosurgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  2. Department of Neurosurgery, National Health Insurance Corporation Ilsan Hospital, Yonsei University College of Medicine, Goyang, Korea.

PMID: 26539275 PMCID: PMC4630363 DOI: 10.3340/jkns.2015.58.3.286

Abstract

We report a case of neurilemmoma of deep peroneal nerve sensory branch that triggered sensory change with compression test on lower extremity. After resection of tumor, there are evoked thermal changes on pre- and post-operative infrared (IR) thermographic images. A 52-year-old female presented with low back pain, sciatica, and sensory change on the dorsal side of the right foot and big toe that has lasted for 9 months. She also presented with right tibial mass sized 1.2 cm by 1.4 cm. Ultrasonographic imaging revealed a peripheral nerve sheath tumor arising from the peroneal nerve. IR thermographic image showed hyperthermia when the neurilemoma induced sensory change with compression test on the fibular area, dorsum of foot, and big toe. After surgery, the symptoms and thermographic changes were relieved and disappeared. The clinical, surgical, radiographic, and thermographic perspectives regarding this case are discussed.

Keywords: Infrared thermography; Nerve compression test; Neurilemmoma; Peroneal nerve; Sciatica

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