Cyclic sciatica related to an extrapelvic endometriosis of the sciatic nerve: new concepts in surgical therapy

Sciatic pain caused by endometriosis of the sciatic nerve is an uncommon clinical finding and seems to have been verified histologically in only a few cases. Patients complain of typical signs and symptoms of common sciatica that are cyclic in nature. Suggested compression of lumbar root or sciatic...

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Bibliographic Details
Published inJournal of spinal disorders & techniques Vol. 15; no. 5; p. 436
Main Authors Papapietro, N, Gulino, G, Zobel, B Beomonte Beomonte, Di Martino, A, Denaro, V
Format Journal Article
LanguageEnglish
Published United States 01.10.2002
Subjects
Adult
Endometriosis - complications
Endometriosis - diagnosis
Endometriosis - surgery
Female
Humans
Magnetic Resonance Imaging
Periodicity
Sciatic Nerve - pathology
Sciatica - diagnosis
Sciatica - etiology
Sciatica - surgery
Sciatica - therapy
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Summary:Sciatic pain caused by endometriosis of the sciatic nerve is an uncommon clinical finding and seems to have been verified histologically in only a few cases. Patients complain of typical signs and symptoms of common sciatica that are cyclic in nature. Suggested compression of lumbar root or sciatic nerve or its plexus could be confirmed by electromyography, computed tomography, or magnetic resonance imaging, and by prompt response to hormonal suppression of ovarian function with regression of the radiologic findings. Patients often have required radical surgery with total hysterectomy and bilateral salpingo-oophorectomy. However, conservative surgery with excision of the endometriosis from the nerve can be successful in selected patients who wish to preserve reproductive function. We report a case of sciatic nerve involvement explored by magnetic resonance imaging, with endometriosis in contact with the nerve in the right sciatic trunk.
ISSN:1536-0652
DOI:10.1097/00024720-200210000-00016