Management of Paraspinal Nerve Sheath Tumors

Christopher F. Dibble, Wilson Z. Ray

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Paraspinal nerve sheath tumors are defined as neoplasms lateral to the neural foramen, originating from the nerve sheath, sometimes with significant extra- and intraforaminal extension. The majority are schwannomas, with neurofibromas, and then much less common malignant peripheral nerve sheath tumors. Most are solitary lesions, but patients with NF1 and NF2 can have significant nerve sheath tumor burden and warrant special surgical considerations. Paraspinal nerve sheath tumors can be challenging pathologies to treat due to their ability to involve the entire spine and critical neurovascular structures associated with it. For high-grade or non-operable lesions, growing options for radiation and chemotherapy exist. Ultimately a well-trained and disciplined peripheral nerve surgeon has a great opportunity to improve the lives of these patients, many of whom have a surgically curable disease.

Original languageEnglish
Title of host publicationDiagnostic Assessment and Treatment of Peripheral Nerve Tumors
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783030776336
ISBN (Print)9783030776329
StatePublished - Jan 1 2021


  • Neurofibroma
  • Paraspinal nerve sheath tumor
  • Peripheral nerve surgery
  • Schwannoma
  • Spine surgery


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