CASE REPORT
The necessity to use microsurgical methods and intraoperative
monitoring during pathology in tarsal tunnel. Technical report
1
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Head of the Department: Prof. Marianna Janion
2
Department of Neurosurgery, University of Warmia and Mazury, Olsztyn, Poland
Head of the Department: Prof. Wojciech Maksymowicz
Submission date: 2020-07-21
Acceptance date: 2020-09-08
Publication date: 2020-09-30
Medical Studies 2020;36(3):235-238
TOPICS
ABSTRACT
A Schwannoma tumour located in the posterior tibial nerve in the tarsal tunnel is extremely rare [1–10], and hence surgery of this pathology also occurs rarely. Schwannoma within the foot, causing pain syndrome, requires differentiation from Morton’s metatarsalgia [11]. There are several such cases of surgeries during the 20-year period described in the literature, but intraoperative monitoring techniques and microsurgery are still only an option. Due to the anatomical relationship, nerve vascular supply [12–15] and muscle functions innervated by the tibial nerve, related to the support, foot arch, and effect on the movement pattern [16, 17]. The surgical technique should use methods of microsurgical dissection and intraoperative neurophysiological monitoring in order to ensure safe surgery.
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| eISSN: | 2300-6722 |
| ISSN: | 1899-1874 |
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