Cyclic Sciatica in a Patient With Deep Monolateral Endometriosis Infiltrating the Right Sciatic Nerve
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This case report presents a patient whose sciatica was caused by deep unilateral endometriosis infiltrating the right sciatic nerve, which was treated with laparoscopic neurolysis.
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Abstract
STUDY DESIGN: Case report. OBJECTIVE: To 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. SUMMARY OF BACKGROUND DATA: Pelvic endometriosis may infiltrate the pelvic wall and somatic nerves causing severe neuropathic symptoms. METHODS: We 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. RESULTS: The patient was treated by laparoscopic neurolysis of the involved somatic nerves according to the Possover operation. CONCLUSIONS: Endometriosis 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.
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Cited by (23)
- MRI Features of Pelvic Nerve Involvement in Endometriosis 2024
- Entrapped by pain: The diagnosis and management of endometriosis affecting somatic nerves 2024
- Pelvic Nerve Endometriosis (Neuropelveology) 2022
- Comparison of Isolated Sciatic Nerve and Sacral Nerve Root Endometriosis: A Review of the Literature 2022
- Magnetic resonance imaging for deep infiltrating endometriosis: current concepts, imaging technique and key findings 2021
- Excision of Deep Endometriosis Nodules of the Sciatic Nerve in 10 Steps 2021
- Sciatic endometriosis: A narrative review of an unusual neurogynecologic condition 2020
- Endometriosis: seeking optimal management in women approaching menopause 2019
- Angiomixoma Pélvico Asociado a Endometriosis Infiltrativa Profunda. Reporte de un caso 2019
- Extrapelvic Sciatic Nerve Endometriosis, the Role of Magnetic Resonance Imaging: Case Report and Systematic Review 2019
- Endometriosis Involving the Sciatic Nerve: A Case Report of Isolated Endometriosis of the Sciatic Nerve and Review of the Literature 2018
- Sciatic Nerve Involvement as an Unusual Presentation of Deep Endometriosis 2017
- Five-Year Follow-Up After Laparoscopic Large Nerve Resection for Deep Infiltrating Sciatic Nerve Endometriosis 2017
- Effect of Wnt/β-catenin signal pathway on of matrix metalloproteinase-7 and vascular endothelial growth factor gene expressions in endometriosis 2016
- Ultrasonography of sciatic nerve endometriosis 2016
- Extragenital Endometriosis; A Rare Casue of Sciatica: A Case Report 2015
- Neural involvement in endometriosis: Review of anatomic distribution and mechanisms 2015
- Sciatic endometriosis induces mechanical hypersensitivity, segmental nerve damage, and robust local inflammation in rats 2015
- Magnetic resonance imaging evidence for perineural spread of endometriosis to the lumbosacral plexus: report of 2 cases 2015
- Prevalence and severity of cyclic leg pain in women with endometriosis and in controls – effect of laparoscopic surgery 2014
- Neuro-anatomy of the posterior parametrium and surgical considerations for a nerve-sparing approach in radical pelvic surgery 2013
- Sciatic endometriosis presenting as periodic (catamenial) sciatic radiculopathy 2012
- ¿Por qué la endometriosis infiltrativa profunda debe ser considerada una entidad diferente a la endometriosis peritoneal? 2012
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