Optimal Delivery of Pain Management in Schwannomatosis: A Literature Review

Utaro Hino,1 Ryota Tamura,2 Masahiro Toda2 1Department of Neurosurgery, Saiseikai Yokohamashi Tobu Hospital, Kanagawa, Japan; 2Department of Neurosurgery, Keio University School of Medicine, Tokyo, JapanCorrespondence: Ryota Tamura, Department of Neurosurgery, Keio University School of Medicine, 35...

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Main Authors: Hino U, Tamura R, Toda M
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:Therapeutics and Clinical Risk Management
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Online Access:https://www.dovepress.com/optimal-delivery-of-pain-management-in-schwannomatosis-a-literature-re-peer-reviewed-fulltext-article-TCRM
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author Hino U
Tamura R
Toda M
author_facet Hino U
Tamura R
Toda M
author_sort Hino U
collection DOAJ
description Utaro Hino,1 Ryota Tamura,2 Masahiro Toda2 1Department of Neurosurgery, Saiseikai Yokohamashi Tobu Hospital, Kanagawa, Japan; 2Department of Neurosurgery, Keio University School of Medicine, Tokyo, JapanCorrespondence: Ryota Tamura, Department of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan, Email moltobello-r-610@keio.jpAbstract: Non-NF2 schwannomatosis is a rare syndrome characterized by multiple benign schwannomas that primarily affect nerve sheaths, with chronic, treatment-resistant pain as the most common symptom. No protocol has been established for pain management, and pharmacotherapies, including molecular target therapies, are being evaluated. Neuromodulation therapies such as scrambler therapy and surgical options are also employed; however, surgery may lead to persistent or recurrent pain caused by nerve damage or tumor recurrence. The lack of accurate animal models hampers understanding of pain mechanisms and tumor development, necessitating further basic research and clinical trials to improve treatment strategies.Keywords: schwannomatosis, pain, surgery, medication, neuromodulation
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series Therapeutics and Clinical Risk Management
spelling doaj-art-ce8a0672a0f444fd96efa4bcdb60f3602025-01-19T16:42:59ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2025-01-01Volume 21616899332Optimal Delivery of Pain Management in Schwannomatosis: A Literature ReviewHino UTamura RToda MUtaro Hino,1 Ryota Tamura,2 Masahiro Toda2 1Department of Neurosurgery, Saiseikai Yokohamashi Tobu Hospital, Kanagawa, Japan; 2Department of Neurosurgery, Keio University School of Medicine, Tokyo, JapanCorrespondence: Ryota Tamura, Department of Neurosurgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan, Email moltobello-r-610@keio.jpAbstract: Non-NF2 schwannomatosis is a rare syndrome characterized by multiple benign schwannomas that primarily affect nerve sheaths, with chronic, treatment-resistant pain as the most common symptom. No protocol has been established for pain management, and pharmacotherapies, including molecular target therapies, are being evaluated. Neuromodulation therapies such as scrambler therapy and surgical options are also employed; however, surgery may lead to persistent or recurrent pain caused by nerve damage or tumor recurrence. The lack of accurate animal models hampers understanding of pain mechanisms and tumor development, necessitating further basic research and clinical trials to improve treatment strategies.Keywords: schwannomatosis, pain, surgery, medication, neuromodulationhttps://www.dovepress.com/optimal-delivery-of-pain-management-in-schwannomatosis-a-literature-re-peer-reviewed-fulltext-article-TCRMschwannomatosispainsurgerymedicationneuromodulation
spellingShingle Hino U
Tamura R
Toda M
Optimal Delivery of Pain Management in Schwannomatosis: A Literature Review
Therapeutics and Clinical Risk Management
schwannomatosis
pain
surgery
medication
neuromodulation
title Optimal Delivery of Pain Management in Schwannomatosis: A Literature Review
title_full Optimal Delivery of Pain Management in Schwannomatosis: A Literature Review
title_fullStr Optimal Delivery of Pain Management in Schwannomatosis: A Literature Review
title_full_unstemmed Optimal Delivery of Pain Management in Schwannomatosis: A Literature Review
title_short Optimal Delivery of Pain Management in Schwannomatosis: A Literature Review
title_sort optimal delivery of pain management in schwannomatosis a literature review
topic schwannomatosis
pain
surgery
medication
neuromodulation
url https://www.dovepress.com/optimal-delivery-of-pain-management-in-schwannomatosis-a-literature-re-peer-reviewed-fulltext-article-TCRM
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