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KMID : 0948920140130010033
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Clinical Pain
2014 Volume.13 No. 1 p.33 ~ p.36
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Schwannoma Misconceived asMyofascial Pain Syndrome -A Case Report-
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Kim Kang-Hee
Lee Sun-Ho
Uhm Kyeong-Eun
Park Jae-Chan
Chang Won-Hyuk
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Abstract
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We herein reported a case of schwannoma misdiagnosed as myofascial pain syndrome for a long time. A 36 years old male patient visited our hospital for proper management for an intermittent left inter-scapular area pain radiating to the posterolateral thoracic area. He was diagnosed with my-ofascial pain syndrome because of the characteristics of a tender point and referred pain on visits to several clinics. On physical examination, a mass was palpated at the left middle para-thoracic muscle. A thoracic spine Magnetic res-onance imaging revealed an oval shaped mass in the left erector spinae muscle. It was suspected to be a schwanno-ma and the patient underwent tumor removal. After excision of the schwannoma, the symptoms were completely all-eviated. If a case of suspected myofascial pain syndrome does not fulfill the criteria or does not improve on con-servative treatment, the physician should consider other eti-ologies and perform imaging studies for accurate diagnosis. (Clinical Pain 2014;13:33-36)
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KEYWORD
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Myofascial pain syndrome, Schwannoma, MRI
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