Successful Removal of a Rare Tibial Nerve Schwannoma Using Microsurgical Technique at Mouwasat Hospital in Madinah
30/12/2025
Madinah - Mouwasat Hospital
Mouwasat Hospital in Madinah proudly announces the successful completion of a complex microsurgical procedure performed by Dr. Ahmed El Shazly, Consultant in Orthopedic Surgery and Microsurgical Hand Procedures.
Case Details
A 41-year-old patient presented with chronic pain in the right leg, numbness, and altered sensation in the sole of the foot for over five years. The pain worsened with pressure or touch and intensified at night, causing severe insomnia. Despite consulting multiple physicians, the condition remained undiagnosed.
Accurate Diagnosis
Clinical examination and advanced imaging (X-ray and MRI) revealed a Tibial Nerve Schwannoma, a benign nerve sheath tumor located in the posterior compartment of the leg. This nerve controls foot movement and sole sensation. Continuous pressure from the tumor posed a risk of loss of sensation or motor weakness in the foot and toes.
What is Tibial Nerve Schwannoma?
A Tibial Nerve Schwannoma is a rare, benign tumor originating from Schwann cells that form the nerve sheath. It affects the tibial nerve, which is responsible for foot movement and sensation in the sole. While the tumor grows slowly, its enlargement can compress nerve fibers, leading to:
- Chronic leg pain
- Numbness or loss of sensation in the sole
- Weakness in foot and toe movement
Microsurgical Tumor Removal
Dr. El Shazly successfully performed a microsurgical excision of the tumor (5×3 cm) while preserving nerve fibers. The patient was discharged the next day without complications and experienced significant pain relief and restored sensation within days. Histopathology confirmed the complete removal of the schwannoma.
Mouwasat Commitment to Excellence
This achievement reflects Mouwasat Hospital’s dedication to advanced neurosurgical and orthopedic techniques, ensuring accurate diagnosis and minimally invasive procedures for optimal patient outcomes—aligned with our vision of delivering world-class healthcare.
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