{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T16:17:28Z","timestamp":1778602648522,"version":"3.51.4"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,29]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Neuromuscular choristomas (NMCs) are rare tumors involving aberrant intercalation of muscle fibers into peripheral nerves, most commonly the sciatic nerve. Although benign, these lesions risk developing into NMCs with desmoid-type fibrosis (NMC-DTFs), aggressive lesions potentially requiring amputation. Currently, information on NMCs and the link between NMCs and NMC-DTFs is limited in adults, with the majority of cases reported in children. We present the case of a 66-year-old male with a sciatic NMC alongside a Preferred Reporting Items for Systematic Reviews and Meta-Analyses\u2013based systematic review of similar cases to better characterize this lesion in the adult population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A male presented with 10 years of progressive left lower-extremity weakness and paresthesia, and a mildly enlarged proximal sciatic nerve was discovered on magnetic resonance imaging. He underwent left sciatic fascicular nerve biopsy, with histopathological examination identifying the lesion as an NMC. The literature review revealed that our case, alongside other cases of adults with NMCs, shared characteristics similar to NMCs in the pediatric population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>More comprehensive studies of adults with NMCs are needed, as the current literature contains limited information concerning disease course, diagnostic characteristics, and treatment. Furthermore, NMCs in adults should be handled with care because of the increased likelihood of transformation to NMC-DTF after surgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23517","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T20:12:38Z","timestamp":1706559158000},"source":"Crossref","is-referenced-by-count":1,"title":["Adult neuromuscular choristoma, a rare peripheral nerve pathology: illustrative case"],"prefix":"10.3171","volume":"7","author":[{"given":"Ashley","family":"Ricciardelli","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Flores","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiang-Chih","family":"Lu","sequence":"additional","affiliation":[{"name":"Pathology and Immunology, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekin","family":"Guney","sequence":"additional","affiliation":[{"name":"Departments of Pathology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arie","family":"Perry","sequence":"additional","affiliation":[{"name":"Departments of Pathology, and"},{"name":"Neurological Surgery, University of California San Francisco, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joey","family":"Grochmal","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"6","key":"b1","series-title":"Am J Surg Pathol.","first-page":"521","article-title":"Neuromuscular choristoma. A clinicopathologic study of two cases","volume":"7","author":"Bonneau R","year":"1983","unstructured":"Bonneau R, Brochu P Neuromuscular choristoma. A clinicopathologic study of two cases. Am J Surg Pathol. 1983;7(6):521\u2013528."},{"issue":"5","key":"b2","series-title":"J Neurosurg.","first-page":"795","article-title":"Neuromuscular hamartoma (benign \u201ctriton\u201d tumor) of the brachial plexus. Case report","volume":"75","author":"Awasthi D","year":"1991","unstructured":"Awasthi D, Kline DG, Beckman EN Neuromuscular hamartoma (benign \u201ctriton\u201d tumor) of the brachial plexus. Case report. J Neurosurg. 1991;75(5):795\u2013797."},{"issue":"2","key":"b3","series-title":"Neurosurgery.","first-page":"E551","article-title":"Intraocular neuromuscular choristoma: a case report and literature review","volume":"68","author":"Boyaci S","year":"2011","unstructured":"Boyaci S, Moray M, Aksoy K, Sav A Intraocular neuromuscular choristoma: a case report and literature review. Neurosurgery. 2011;68(2):E551\u2013E555."},{"issue":"6","key":"b4","series-title":"J Neurosurg.","first-page":"1123","article-title":"Neuromuscular choristoma of the sciatic nerve. Case report","volume":"96","author":"Maher CO","year":"2002","unstructured":"Maher CO, Spinner RJ, Giannini C, Scheithauer BW, Crum BA Neuromuscular choristoma of the sciatic nerve. Case report. J Neurosurg. 2002;96(6):1123\u20131126."},{"issue":"11","key":"b5","series-title":"J Neuropathol Exp Neurol.","first-page":"1068","article-title":"Neuromuscular choristoma: report of five cases with CTNNB1 sequencing","volume":"80","author":"Brandao ICS","year":"2021","unstructured":"Brandao ICS, de Souza FS, de Amoreira Gepp R, et\u00a0al. Neuromuscular choristoma: report of five cases with CTNNB1 sequencing. J Neuropathol Exp Neurol. 2021;80(11):1068\u20131077."},{"issue":"2","key":"b6","series-title":"J Neurosurg.","first-page":"399","article-title":"Fibromatosis: a potential sequela of neuromuscular choristoma","volume":"116","author":"H\u00e9bert-Blouin MN","year":"2012","unstructured":"H\u00e9bert-Blouin MN, Scheithauer BW, Amrami KK, Durham SR, Spinner RJ Fibromatosis: a potential sequela of neuromuscular choristoma. J Neurosurg. 2012;116(2):399\u2013408."},{"key":"b7","series-title":"World Neurosurg.","first-page":"e761","article-title":"Clinical and magnetic resonance imaging longitudinal follow-up of neuromuscular choristomas","volume":"129","author":"Maldonado AA","year":"2019","unstructured":"Maldonado AA, Spinner RJ, Carter JM, Stone JJ, Howe BM Clinical and magnetic resonance imaging longitudinal follow-up of neuromuscular choristomas. World Neurosurg. 2019;129:e761\u2013e766."},{"issue":"4","key":"b8","series-title":"Skeletal Radiol.","first-page":"567","article-title":"Neuromuscular choristoma: characteristic magnetic resonance imaging findings and association with post-biopsy fibromatosis","volume":"42","author":"Niederhauser BD","year":"2013","unstructured":"Niederhauser BD, Spinner RJ, Jentoft ME, Everist BM, Matsumoto JM, Amrami KK Neuromuscular choristoma: characteristic magnetic resonance imaging findings and association with post-biopsy fibromatosis. Skeletal Radiol. 2013;42(4):567\u2013577."},{"issue":"71","key":"b9","series-title":"BMJ.","first-page":"n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et\u00a0al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71):n71."},{"issue":"3","key":"b10","series-title":"Neurosurg Focus.","first-page":"E12","article-title":"Targeted fascicular biopsy of the sciatic nerve and its major branches: rationale and operative technique","volume":"39","author":"Capek S","year":"2015","unstructured":"Capek S, Amrami KK, Dyck PJB, Spinner RJ Targeted fascicular biopsy of the sciatic nerve and its major branches: rationale and operative technique. Neurosurg Focus. 2015;39(3):E12."},{"key":"b11","series-title":"Arch Sci Med (Torino).","first-page":"113","article-title":"Sopra un caso di rabdomioma del nervo ischiatico","volume":"19","author":"Orlandi E","year":"1895","unstructured":"Orlandi E Sopra un caso di rabdomioma del nervo ischiatico. 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J Pediatr Surg. 1972;7(6):696\u2013699."},{"key":"b15","series-title":"Clin Imaging.","first-page":"18","article-title":"Long-term natural history of a neuromuscular choristoma of the sciatic nerve: a case report and literature review","volume":"55","author":"Park JE","year":"2019","unstructured":"Park JE Long-term natural history of a neuromuscular choristoma of the sciatic nerve: a case report and literature review. Clin Imaging. 2019;55:18\u201322."},{"issue":"1","key":"b16","series-title":"J Neurosurg.","first-page":"252","article-title":"Addendum: evidence supports a \u201cno-touch\u201d approach to neuromuscular choristoma","volume":"119","author":"H\u00e9bert-Blouin MN","year":"2013","unstructured":"H\u00e9bert-Blouin MN, Amrami KK, Spinner RJ Addendum: evidence supports a \u201cno-touch\u201d approach to neuromuscular choristoma. J Neurosurg. 2013;119(1):252\u2013254."},{"issue":"1","key":"b17","series-title":"J Neurosurg.","first-page":"175","article-title":"Recurrent desmoid-type fibromatosis associated with underlying neuromuscular choristoma","volume":"131","author":"Stone JJ","year":"2018","unstructured":"Stone JJ, Prasad NK, Laumonerie P, et\u00a0al. Recurrent desmoid-type fibromatosis associated with underlying neuromuscular choristoma. J Neurosurg. 2018;131(1):175\u2013183."},{"issue":"4","key":"b18","series-title":"Neurosurgery.","first-page":"804","article-title":"Frequent CTNNB1 p.S45 mutations and aggressive clinical behavior in neuromuscular choristoma-associated fibromatosis","volume":"88","author":"Carter JM","year":"2021","unstructured":"Carter JM, Maldonado AA, Howe BM, Okuno S, Spinner RJ Frequent CTNNB1 p.S45 mutations and aggressive clinical behavior in neuromuscular choristoma-associated fibromatosis. Neurosurgery. 2021;88(4):804\u2013811."},{"issue":"10","key":"b19","series-title":"Am J Surg Pathol.","first-page":"1368","article-title":"CTNNB1 mutations and estrogen receptor expression in neuromuscular choristoma and its associated fibromatosis","volume":"40","author":"Carter JM","year":"2016","unstructured":"Carter JM, Howe BM, Hawse JR, Giannini C, Spinner RJ, Fritchie KJ CTNNB1 mutations and estrogen receptor expression in neuromuscular choristoma and its associated fibromatosis. Am J Surg Pathol. 2016;40(10):1368\u20131374."},{"issue":"5","key":"b20","series-title":"Acta Neurochir (Wien).","first-page":"1171","article-title":"PET imaging characteristics of neuromuscular choristoma and associated desmoid-type fibromatosis","volume":"165","author":"Marek T","year":"2023","unstructured":"Marek T, Spinner RJ, Carter JM, Murthy NK, Amrami KK, Broski SM PET imaging characteristics of neuromuscular choristoma and associated desmoid-type fibromatosis. Acta Neurochir (Wien). 2023;165(5):1171\u20131177."},{"issue":"12","key":"b21","series-title":"Skeletal Radiol.","first-page":"2051","article-title":"MR spectroscopy differences between lipomatosis of nerve and neuromuscular choristoma: a potential adjunctive diagnostic tool","volume":"49","author":"Marek T","year":"2020","unstructured":"Marek T, Amrami KK, Spinner RJ, Port JD MR spectroscopy differences between lipomatosis of nerve and neuromuscular choristoma: a potential adjunctive diagnostic tool. Skeletal Radiol. 2020;49(12):2051\u20132057."},{"issue":"6","key":"b1","series-title":"Am J Surg Pathol.","first-page":"521","article-title":"Neuromuscular choristoma. A clinicopathologic study of two cases","volume":"7","author":"Bonneau R","year":"1983","unstructured":"Bonneau R, Brochu P Neuromuscular choristoma. A clinicopathologic study of two cases. Am J Surg Pathol. 1983;7(6):521\u2013528."},{"issue":"5","key":"b2","series-title":"J Neurosurg.","first-page":"795","article-title":"Neuromuscular hamartoma (benign \u201ctriton\u201d tumor) of the brachial plexus. Case report","volume":"75","author":"Awasthi D","year":"1991","unstructured":"Awasthi D, Kline DG, Beckman EN Neuromuscular hamartoma (benign \u201ctriton\u201d tumor) of the brachial plexus. Case report. J Neurosurg. 1991;75(5):795\u2013797."},{"issue":"2","key":"b3","series-title":"Neurosurgery.","first-page":"E551","article-title":"Intraocular neuromuscular choristoma: a case report and literature review","volume":"68","author":"Boyaci S","year":"2011","unstructured":"Boyaci S, Moray M, Aksoy K, Sav A Intraocular neuromuscular choristoma: a case report and literature review. Neurosurgery. 2011;68(2):E551\u2013E555."},{"issue":"6","key":"b4","series-title":"J Neurosurg.","first-page":"1123","article-title":"Neuromuscular choristoma of the sciatic nerve. Case report","volume":"96","author":"Maher CO","year":"2002","unstructured":"Maher CO, Spinner RJ, Giannini C, Scheithauer BW, Crum BA Neuromuscular choristoma of the sciatic nerve. Case report. J Neurosurg. 2002;96(6):1123\u20131126."},{"issue":"11","key":"b5","series-title":"J Neuropathol Exp Neurol.","first-page":"1068","article-title":"Neuromuscular choristoma: report of five cases with CTNNB1 sequencing","volume":"80","author":"Brandao ICS","year":"2021","unstructured":"Brandao ICS, de Souza FS, de Amoreira Gepp R, et\u00a0al. Neuromuscular choristoma: report of five cases with CTNNB1 sequencing. J Neuropathol Exp Neurol. 2021;80(11):1068\u20131077."},{"issue":"2","key":"b6","series-title":"J Neurosurg.","first-page":"399","article-title":"Fibromatosis: a potential sequela of neuromuscular choristoma","volume":"116","author":"H\u00e9bert-Blouin MN","year":"2012","unstructured":"H\u00e9bert-Blouin MN, Scheithauer BW, Amrami KK, Durham SR, Spinner RJ Fibromatosis: a potential sequela of neuromuscular choristoma. J Neurosurg. 2012;116(2):399\u2013408."},{"key":"b7","series-title":"World Neurosurg.","first-page":"e761","article-title":"Clinical and magnetic resonance imaging longitudinal follow-up of neuromuscular choristomas","volume":"129","author":"Maldonado AA","year":"2019","unstructured":"Maldonado AA, Spinner RJ, Carter JM, Stone JJ, Howe BM Clinical and magnetic resonance imaging longitudinal follow-up of neuromuscular choristomas. World Neurosurg. 2019;129:e761\u2013e766."},{"issue":"4","key":"b8","series-title":"Skeletal Radiol.","first-page":"567","article-title":"Neuromuscular choristoma: characteristic magnetic resonance imaging findings and association with post-biopsy fibromatosis","volume":"42","author":"Niederhauser BD","year":"2013","unstructured":"Niederhauser BD, Spinner RJ, Jentoft ME, Everist BM, Matsumoto JM, Amrami KK Neuromuscular choristoma: characteristic magnetic resonance imaging findings and association with post-biopsy fibromatosis. Skeletal Radiol. 2013;42(4):567\u2013577."},{"issue":"71","key":"b9","series-title":"BMJ.","first-page":"n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM, et\u00a0al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71):n71."},{"issue":"3","key":"b10","series-title":"Neurosurg Focus.","first-page":"E12","article-title":"Targeted fascicular biopsy of the sciatic nerve and its major branches: rationale and operative technique","volume":"39","author":"Capek S","year":"2015","unstructured":"Capek S, Amrami KK, Dyck PJB, Spinner RJ Targeted fascicular biopsy of the sciatic nerve and its major branches: rationale and operative technique. Neurosurg Focus. 2015;39(3):E12."},{"key":"b11","series-title":"Arch Sci Med (Torino).","first-page":"113","article-title":"Sopra un caso di rabdomioma del nervo ischiatico","volume":"19","author":"Orlandi E","year":"1895","unstructured":"Orlandi E Sopra un caso di rabdomioma del nervo ischiatico. Arch Sci Med (Torino). 1895;19:113\u2013137."},{"issue":"5","key":"b12","series-title":"Acta Neurochir (Wien).","first-page":"1041","article-title":"Neuromuscular choristoma of the sciatic nerve and lumbosacral plexus: an association with nerve-territory undergrowth in the pelvis affecting soft tissue and bone","volume":"156","author":"Kumar R","year":"2014","unstructured":"Kumar R, Howe BM, Amrami KK, Spinner RJ Neuromuscular choristoma of the sciatic nerve and lumbosacral plexus: an association with nerve-territory undergrowth in the pelvis affecting soft tissue and bone. 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J Pediatr Surg. 1972;7(6):696\u2013699."},{"key":"b15","series-title":"Clin Imaging.","first-page":"18","article-title":"Long-term natural history of a neuromuscular choristoma of the sciatic nerve: a case report and literature review","volume":"55","author":"Park JE","year":"2019","unstructured":"Park JE Long-term natural history of a neuromuscular choristoma of the sciatic nerve: a case report and literature review. Clin Imaging. 2019;55:18\u201322."},{"issue":"1","key":"b16","series-title":"J Neurosurg.","first-page":"252","article-title":"Addendum: evidence supports a \u201cno-touch\u201d approach to neuromuscular choristoma","volume":"119","author":"H\u00e9bert-Blouin MN","year":"2013","unstructured":"H\u00e9bert-Blouin MN, Amrami KK, Spinner RJ Addendum: evidence supports a \u201cno-touch\u201d approach to neuromuscular choristoma. J Neurosurg. 2013;119(1):252\u2013254."},{"issue":"1","key":"b17","series-title":"J Neurosurg.","first-page":"175","article-title":"Recurrent desmoid-type fibromatosis associated with underlying neuromuscular choristoma","volume":"131","author":"Stone JJ","year":"2018","unstructured":"Stone JJ, Prasad NK, Laumonerie P, et\u00a0al. Recurrent desmoid-type fibromatosis associated with underlying neuromuscular choristoma. J Neurosurg. 2018;131(1):175\u2013183."},{"issue":"4","key":"b18","series-title":"Neurosurgery.","first-page":"804","article-title":"Frequent CTNNB1 p.S45 mutations and aggressive clinical behavior in neuromuscular choristoma-associated fibromatosis","volume":"88","author":"Carter JM","year":"2021","unstructured":"Carter JM, Maldonado AA, Howe BM, Okuno S, Spinner RJ Frequent CTNNB1 p.S45 mutations and aggressive clinical behavior in neuromuscular choristoma-associated fibromatosis. Neurosurgery. 2021;88(4):804\u2013811."},{"issue":"10","key":"b19","series-title":"Am J Surg Pathol.","first-page":"1368","article-title":"CTNNB1 mutations and estrogen receptor expression in neuromuscular choristoma and its associated fibromatosis","volume":"40","author":"Carter JM","year":"2016","unstructured":"Carter JM, Howe BM, Hawse JR, Giannini C, Spinner RJ, Fritchie KJ CTNNB1 mutations and estrogen receptor expression in neuromuscular choristoma and its associated fibromatosis. Am J Surg Pathol. 2016;40(10):1368\u20131374."},{"issue":"5","key":"b20","series-title":"Acta Neurochir (Wien).","first-page":"1171","article-title":"PET imaging characteristics of neuromuscular choristoma and associated desmoid-type fibromatosis","volume":"165","author":"Marek T","year":"2023","unstructured":"Marek T, Spinner RJ, Carter JM, Murthy NK, Amrami KK, Broski SM PET imaging characteristics of neuromuscular choristoma and associated desmoid-type fibromatosis. Acta Neurochir (Wien). 2023;165(5):1171\u20131177."},{"issue":"12","key":"b21","series-title":"Skeletal Radiol.","first-page":"2051","article-title":"MR spectroscopy differences between lipomatosis of nerve and neuromuscular choristoma: a potential adjunctive diagnostic tool","volume":"49","author":"Marek T","year":"2020","unstructured":"Marek T, Amrami KK, Spinner RJ, Port JD MR spectroscopy differences between lipomatosis of nerve and neuromuscular choristoma: a potential adjunctive diagnostic tool. 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