{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:30:17Z","timestamp":1761903017067,"version":"build-2065373602"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Giant solitary pelvic schwannomas are rare, benign nerve sheath tumors that can present with diverse neurological and systemic symptoms. Early recognition and careful planning are essential for optimal outcomes.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n An 18-year-old male presented with low back\/left leg pain, constipation, and intermittent left scrotal discomfort. He had previously mistakenly undergone surgery for suspected left testicular torsion. His magnetic resonance imaging revealed a large 10 cm cystic lesion with a solid component arising from the left S2 nerve root. He underwent a two-staged posterior followed by an anterior approach for total excision of a histopathologically confirmed World Health Organization Grade 1 schwannoma. Postoperatively, he retained intact motor, sensory function and preservation of bladder and largely sexual function.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Pelvic schwannomas may mimic other clinical conditions. Here, total excision of such a lesion was successfully accomplished.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_1006_2025","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:25:41Z","timestamp":1761902741000},"page":"454","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A giant presacral schwannoma \u2013 Surgical considerations with an illustrative case and review of the literature"],"prefix":"10.25259","volume":"16","author":[{"given":"Nandu Krishnan","family":"Radhakrishnakurup","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol Susan","family":"George","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayan","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. Joshi","family":"George","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,10,31]]},"reference":[{"key":"10.25259\/SNI_1006_2025\/ref-1","doi-asserted-by":"crossref","first-page":"106934","DOI":"10.1016\/j.ijscr.2022.106934","article-title":"Giant pelvic schwannoma presenting with increased urinary frequency-Case report","volume":"93","author":"Andrej","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"10.25259\/SNI_1006_2025\/ref-2","doi-asserted-by":"crossref","first-page":"408","DOI":"10.25259\/SNI_681_2020","article-title":"Resection of a large presacral schwannoma from an all-posterior trans-sacral approach","volume":"11","author":"Braley","year":"2020","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_1006_2025\/ref-3","doi-asserted-by":"crossref","first-page":"20584601221102822","DOI":"10.1177\/20584601221102822","article-title":"Pelvic schwannoma in an adult male","volume":"11","author":"Dau","year":"2022","journal-title":"Acta Radiol Open"},{"key":"10.25259\/SNI_1006_2025\/ref-4","doi-asserted-by":"crossref","first-page":"CASE21319","DOI":"10.3171\/CASE21319","article-title":"Total resection of presacral giant schwannoma via minimally invasive dorsal approach: Illustrative case","volume":"2","author":"Feigl","year":"2021","journal-title":"J Neurosurg Case Lessons"},{"key":"10.25259\/SNI_1006_2025\/ref-5","doi-asserted-by":"crossref","first-page":"E12","DOI":"10.3171\/foc.2003.15.2.12","article-title":"Nerve sheath tumors involving the sacrum. Case report and classification scheme","volume":"15","author":"Klimo","year":"2003","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_1006_2025\/ref-6","doi-asserted-by":"crossref","first-page":"106409","DOI":"10.1016\/j.clineuro.2020.106409","article-title":"Management of giant presacral schwannoma. Clinical series and literature review","volume":"200","author":"Leclerc","year":"2021","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_1006_2025\/ref-7","doi-asserted-by":"crossref","first-page":"89","DOI":"10.14245\/kjs.2017.14.3.89","article-title":"Single stage posterior approach for total resection of presacral giant schwannoma: A technical case report","volume":"14","author":"Lee","year":"2017","journal-title":"Korean J Spine"},{"key":"10.25259\/SNI_1006_2025\/ref-8","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1186\/1477-7819-6-107","article-title":"Special problems encountering surgical management of large retroperitoneal schwannomas","volume":"6","author":"Theodosopoulos","year":"2008","journal-title":"World J Surg Oncol"},{"key":"10.25259\/SNI_1006_2025\/ref-9","doi-asserted-by":"crossref","first-page":"261","DOI":"10.3892\/ol.2024.14394","article-title":"Rare retroperitoneal giant sacral schwannoma: A case report","volume":"27","author":"Zhou","year":"2024","journal-title":"Oncol Lett"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-giant-presacral-schwannoma-surgical-considerations-with-an-illustrative-case-and-review-of-the-literature\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-giant-presacral-schwannoma-surgical-considerations-with-an-illustrative-case-and-review-of-the-literature\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T09:26:10Z","timestamp":1761902770000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-giant-presacral-schwannoma-surgical-considerations-with-an-illustrative-case-and-review-of-the-literature\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,31]]},"references-count":9,"alternative-id":["10.25259\/SNI_1006_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_1006_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"type":"electronic","value":"2152-7806"},{"type":"print","value":"2229-5097"}],"subject":[],"published":{"date-parts":[[2025,10,31]]},"article-number":"454"}}