Successful Treatment of Peripheral Nerve Sheath Tumor-related Pain with Perineural Steroid Injection: a case report

David S. Jevotovsky, Elizabeth Callahan, Jina Libby, Salvador E. Portugal

Research output: Contribution to journalArticlepeer-review

Abstract

Pain associated with Neurofibromatosis Type 1 (NF1) is poorly understood. To date, no treatment options have been approved for NF1-related pain. We present the case of a young female NF1 patient with intermittent buttock pain radiating down the leg who presented with positive dural tension signs. The patient was diagnosed with neurofibroma sciatic nerve compression, which was successfully managed with ultrasound-guided perineural steroid injection. There is sparse literature regarding the efficacy of ultrasound-guided perineural steroid injection in NF1 patients for treatment of benign peripheral nerve sheath tumor compressions. This case describes the utility of perineural steroid injections for symptomatic relief of NF1 neurofibroma-related pain. Perineural steroid injections should be considered when neurofibroma-related pain fails to respond to other conservative treatment. Steroid injections provide an alternative to oral medicinal management and avoid the often morbid risks of surgical intervention.

Original languageEnglish (US)
Article number100394
JournalInterventional Pain Medicine
Volume3
Issue number1
DOIs
StatePublished - Mar 2024

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Fingerprint

Dive into the research topics of 'Successful Treatment of Peripheral Nerve Sheath Tumor-related Pain with Perineural Steroid Injection: a case report'. Together they form a unique fingerprint.

Cite this