Schwannoma/Neuroma

[Linda Thomas]

I would appreciate information about the following:
What is the difference between a neuroma and a Schannoma?  If a person is experiencing neuropathy in the peroneal nerve which is likely caused by a neuroma or a Schwannoma, what is the recommended treatment?  Also, if surgery is the recommended treatment, what risks are entailed in operating on the peroneal nerve?  
Thank you for your assistance.

[C Taylor Jenkins]

Doc,

You're welcome.  And with all my understanding, I hate the dad-gummed things.  Question?  Can excision (shaving) of schwannoma lead to partial restoration of nerve function after many, many, many moons of paralysis?  I ask this because the other day I was checking myself out in the mirror and received the shock of my life.  Namely, movement where there didn't used to be in the lower lip.  I smiled and low and behold, I could even feel it happening!  The upper lip is still motionless, but I actually have a laugh line and a matching dimple.  There is also a fair amount of zapping going on back and forth along my jawline.  Is it possible Doc?  After all this time?  And should I really put the pedal to the metal in the exercise department?  (Incidently, I'm down to 90 mgs of MS- Contin.  I started reduction at 180 mgs.)

Sorry to take up this space, but... strange phenomena is happening in the schwannomal arena and it's a first for me!  Thanks for your time and hopefully, your reply.

C Taylor Jenkins

[CCF Neuro[P] MD, RPS]

thanks for your comments

CCF Neuro MD

[CCF Neuro[P] MD, RPS]

Dear Linda:

A schwannoma is a benign tumor of the myelinating cell of the peripheral nervous system.  A neuroma is a benign tumor of a nerve.  Both can cause a neuropathy.  The more likely is a schwannoma.  Unless there is enough compromise to warrant it, surgery is usually not performed.  But, each case is individual.  Most of the risks are dependent on the size and location of the tumor, and the surgeon.  I can't really tell you because I don't know these variables.

Sincerely,

CCF Neuro MD