{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:00:46Z","timestamp":1790809246281,"version":"4.1.0"},"reference-count":22,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"16","license":[{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"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":[[2024,4,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Phantom limb pain and traumatic neuromas are not commonly seen in neurosurgical practice. These conditions can present with similar symptoms; however, management of traumatic neuroma is often surgical, whereas phantom limb pain is treated with conservative measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 77-year-old female patient with a long-standing history of an above-the-knee amputation experienced severe pain in her right posterior buttocks area for several years\u2019 duration, attributed to phantom limb pain, which radiated down the stump of her leg and was treated with a variety of conservative measures. A recent exacerbation of her pain led to a prolonged hospitalization with magnetic resonance imaging of her leg stump, revealing a mass in the sciatic notch, at a relative distance from the stump. The anatomical location of the mass on the sciatic nerve in the notch led to a presumed radiological diagnosis of nerve sheath tumor, for which she underwent excision. At surgery, a neuroma of the proximal portion of the transected sciatic nerve that had retracted from the amputated stump to the notch was diagnosed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Traumatic neuromas of transected major nerves after limb amputation should be considered in the differential diagnosis of phantom limb pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case247","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T02:43:06Z","timestamp":1713148986000},"source":"Crossref","is-referenced-by-count":1,"title":["Phantom limb pain, traumatic neuroma, or nerve sheath tumor? Illustrative case"],"prefix":"10.3171","volume":"7","author":[{"given":"Patrick J","family":"Halloran","sequence":"first","affiliation":[{"name":"University of Connecticut School of Medicine, Farmington, Connecticut; and Departments of"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. Antonio","family":"Chiocca","sequence":"additional","affiliation":[{"name":"Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Santos","sequence":"additional","affiliation":[{"name":"Pathology, Brigham and Women\u2019s Hospital, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"World J Surg Oncol","first-page":"242","article-title":"Traumatic neuroma of the superficial peroneal nerve in a patient: a case report and review of the literature","volume":"14","author":"Kang J","year":"2016","unstructured":"Kang J, Yang P, Zang Q, He X. Traumatic neuroma of the superficial peroneal nerve in a patient: a case report and review of the literature. World J Surg Oncol. 2016;14(1):242."},{"issue":"1","key":"b2","series-title":"J Neurosurg","first-page":"184","article-title":"Novel experimental surgical strategy to prevent traumatic neuroma formation by combining a 3D-printed Y-tube with an autograft","volume":"130","author":"Bolleboom A","year":"2018","unstructured":"Bolleboom A, de Ruiter GCW, Coert JH, Tuk B, Holstege JC, van Neck JW. Novel experimental surgical strategy to prevent traumatic neuroma formation by combining a 3D-printed Y-tube with an autograft. J Neurosurg. 2018;130(1):184\u2013196."},{"issue":"2","key":"b3","series-title":"J Pain","first-page":"157","article-title":"Combination drug therapy for chronic pain: a call for more clinical studies","volume":"12","author":"Mao J","year":"2011","unstructured":"Mao J, Gold MS, Backonja MM. Combination drug therapy for chronic pain: a call for more clinical studies. J Pain. 2011;12(2):157\u2013166."},{"issue":"3","key":"b4","series-title":"Lancet Neurol","first-page":"182","article-title":"Phantom-limb pain: characteristics, causes, and treatment","volume":"1","author":"Flor H","year":"2002","unstructured":"Flor H. Phantom-limb pain: characteristics, causes, and treatment. Lancet Neurol. 2002;1(3):182\u2013189."},{"issue":"9","key":"b5","series-title":"Curr Pain Headache Rep","first-page":"64","article-title":"Treatment strategies and effective management of phantom limb-associated pain","volume":"23","author":"Urits I","year":"2019","unstructured":"Urits I, Seifert D, Seats A,  Treatment strategies and effective management of phantom limb-associated pain. Curr Pain Headache Rep. 2019;23(9):64."},{"issue":"4","key":"b6","series-title":"Eur Radiol","first-page":"1204","article-title":"MRI features of peripheral traumatic neuromas","volume":"26","author":"Ahlawat S","year":"2016","unstructured":"Ahlawat S, Belzberg AJ, Montgomery EA, Fayad LM. MRI features of peripheral traumatic neuromas. Eur Radiol. 2016;26(4):1204\u20131212."},{"issue":"3","key":"b7","series-title":"Hand Clin","first-page":"335","article-title":"Traditional neuroma management","volume":"37","author":"Starr BW","year":"2021","unstructured":"Starr BW, Chung KC. Traditional neuroma management. Hand Clin. 2021;37(3):335\u2013344."},{"issue":"5","key":"b8","series-title":"Ann Plast Surg","first-page":"574","article-title":"A systematic review and meta-analysis on the incidence of patients with lower-limb amputations who developed symptomatic neuromata in the residual limb","volume":"88","author":"Huang YJ","year":"2022","unstructured":"Huang YJ, Assi PE, Drolet BC,  A systematic review and meta-analysis on the incidence of patients with lower-limb amputations who developed symptomatic neuromata in the residual limb. Ann Plast Surg. 2022;88(5):574\u2013580."},{"issue":"3","key":"b9","series-title":"Intractable Rare Dis Res","first-page":"185","article-title":"Traumatic neuroma as a rare cause of intractable neuropathic breast pain following cancer surgery: Management and review of the literature","volume":"7","author":"Salemis NS","year":"2018","unstructured":"Salemis NS. Traumatic neuroma as a rare cause of intractable neuropathic breast pain following cancer surgery: Management and review of the literature. Intractable Rare Dis Res. 2018;7(3): 185\u2013190."},{"issue":"2","key":"b10","series-title":"Ann Surg","first-page":"238","article-title":"Targeted muscle reinnervation treats neuroma and phantom pain in major limb amputees: a randomized clinical trial","volume":"270","author":"Dumanian GA","year":"2019","unstructured":"Dumanian GA, Potter BK, Mioton LM,  Targeted muscle reinnervation treats neuroma and phantom pain in major limb amputees: a randomized clinical trial. 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