{"paper_id":"10bc6b95-ca1c-4d2d-8cd1-52fa5afa3d91","body_text":"Cyclic Sciatica in a Patient With Deep Monolateral Endometriosis Infiltrating the Right Sciatic Nerve\n- Marcello Ceccaroni\n- Roberto Clarizia\n- Stefano Cosma\n- Anna Pesci\n- Giovanni Pontrelli\n- Luca Minelli\nStudy Design\nCase report.\nObjective\nTo show by case presentation, the potential for endometriosis to infiltrate the somatic nerves causing lower extremity neuropathic pain and to discuss possible surgical remedy and the effectiveness of laparoscopic neurolysis.\nSummary of Background Data\nPelvic endometriosis may infiltrate the pelvic wall and somatic nerves causing severe neuropathic symptoms.\nMethods\nWe report a case of a 41-year-old woman with a history of severe dysmenorrhea, dyspareunia, and chronic pelvic pain with concomitant monolateral right sciatica because of deep infiltrating pelvic endometriosis involving the sciatic nerve and pelvic wall.\nResults\nThe patient was treated by laparoscopic neurolysis of the involved somatic nerves according to the Possover operation.\nConclusions\nEndometriosis is a chronic inflammatory disease, potentially infiltrating the somatic nerves. Laparoscopic neurolysis is a therapeutic aetiological therapy, which can relieve neurological symptoms deriving from nerve infiltration/compression.","source_license":"CC0","license_restricted":false}