Catamenial mononeuropathy and radiculopathy: a treatable neuropathic disorder
Case report
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⤵ 30 in-corpus citations
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This study examined five women with endometriosis-related lower-extremity neuropathies and radiculopathies, finding that hormonal therapy effectively treated symptoms while surgical intervention was reserved for refractory cases.
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Abstract
OBJECT: The aim of this study was to investigate the indications and treatment options in patients with lower-extremity neuropathies and radiculopathies caused by endometriosis.
METHODS: The authors identified five patients whose symptoms included catamenial pain, weakness, and sensory loss involving the sciatic and femoral nerves and multiple lumbosacral nerve roots. Radiographic studies supported the diagnosis of catamenial neuropathy or radiculopathy, but definitive diagnosis depended on surgical and pathological examination. Treatment of symptoms, including physical therapy and a course of antiinflammatory or analgesic medication, was not helpful. Patients responded favorably to hormonal therapy. Laparoscopy or open exploration for extrapelvic lesions was performed for diagnosis or for treatment when hormone therapy failed. Pain and sensory symptoms responded well to therapy. Weakness improved, but never recovered completely.
CONCLUSIONS: Catamenial neuropathy or radiculopathy should be considered when evaluating reproductive-age women with recurring focal neuropathic leg pain, weakness, and sensory loss.
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Cited by (28)
- Entrapped by pain: The diagnosis and management of endometriosis affecting somatic nerves 2024
- MRI Features of Pelvic Nerve Involvement in Endometriosis 2024
- Estro-Progestins and Pain Relief in Endometriosis 2022
- Comparison of Isolated Sciatic Nerve and Sacral Nerve Root Endometriosis: A Review of the Literature 2022
- Pelvic Nerve Endometriosis (Neuropelveology) 2022
- Intrapelvic causes of sciatica: A systematic review 2021
- Optimal Management of Endometriosis and Pain 2020
- Sciatic endometriosis: A narrative review of an unusual neurogynecologic condition 2020
- Endometriosis: seeking optimal management in women approaching menopause 2019
- Optimal Management of Endometriosis and Pain 2019
- Extrapelvic Sciatic Nerve Endometriosis, the Role of Magnetic Resonance Imaging: Case Report and Systematic Review 2019
- A model for radiating leg pain of endometriosis 2016
- Neural involvement in endometriosis: Review of anatomic distribution and mechanisms 2015
- Magnetic resonance imaging evidence for perineural spread of endometriosis to the lumbosacral plexus: report of 2 cases 2015
- Sciatic endometriosis induces mechanical hypersensitivity, segmental nerve damage, and robust local inflammation in rats 2015
- [Sciatica secondary to extrapelvic endometriosis affecting the piriformis muscle. Case report] 2012
- Endometriosis of the sciatic nerve 2011
- A pilot study of the prevalence of leg pain among women with endometriosis 2011
- Laparoscopic Therapy of Endometriosis and Vascular Entrapment of Sacral Plexus 2011
- Laparoscopic therapy for endometriosis and vascular entrapment of sacral plexus 2010
- Cyclic sciatica from extrapelvic endometriosis affecting the sciatic nerve 2010
- Catamenial sciatica 2008
- Laparoscopic neurolysis of the pelvic sciatic nerve in a case of catamenial footdrop 2005
- Contribution to the physiopathology, symptomatology and treatment of deep infiltrating endometriosis 2004
- Evidence for asymmetric distribution of sciatic nerve endometriosis 2003
- Evidence for Asymmetric Distribution of Sciatic Nerve Endometriosis 2003
- Cyclic sciatica related to an extrapelvic endometriosis of the sciatic nerve: new concepts in surgical therapy 2002
- Laparoscopic findings, management, histopathology, and outcome of 25 women with cyclic leg pain 2002
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