Painful vascular compression syndrome of the sciatic nerve caused by gluteal varicosities

The authors report three patients with chronic sciatic pain without focal neurologic deficit. Sitting or lying on the affected side provoked pain, and standing and walking relieved it. MRI revealed varicotic gluteal vessels compressing the sciatic nerve. Decompression of the nerve resulted in comple...

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Bibliographic Details
Published inNeurology Vol. 61; no. 7; p. 985
Main Authors Bendszus, M, Rieckmann, P, Perez, J, Koltzenburg, M, Reiners, K, Solymosi, L
Format Journal Article
LanguageEnglish
Published United States 14.10.2003
Subjects
Aged
Buttocks - blood supply
Female
Humans
Magnetic Resonance Imaging
Male
Nerve Compression Syndromes - diagnosis
Nerve Compression Syndromes - etiology
Nerve Compression Syndromes - surgery
Sciatic Neuropathy - diagnosis
Sciatic Neuropathy - etiology
Sciatic Neuropathy - surgery
Varicose Veins - complications
Varicose Veins - diagnosis
Varicose Veins - surgery
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Summary:The authors report three patients with chronic sciatic pain without focal neurologic deficit. Sitting or lying on the affected side provoked pain, and standing and walking relieved it. MRI revealed varicotic gluteal vessels compressing the sciatic nerve. Decompression of the nerve resulted in complete and permanent pain relief. Sciatic or buttock pain in patients with varicosities and pain provocation in the sitting or lying position suggests this neurovascular compression syndrome.
ISSN:1526-632X
DOI:10.1212/WNL.61.7.985