Endometriosis of the sciatic nerve: a report of two cases and a review of the literature
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This report details two cases of sciatic nerve endometriosis, a rare cause of cyclic sciatica diagnosed via EMG and CT, and treated surgically with either nerve excision or definitive hysterectomy/oophorectomy.
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Abstract
Endometriosis of the sciatic nerve is rare but must be included in the differential diagnosis of sciatic pain. Patients present with typical signs and symptoms of sciatica, which are cyclic in nature. Electromyography and computed tomographic scanning are useful in diagnosis. At laparoscopy or laparotomy, a characteristic "pocket sign" is frequently seen, and may be the only clue to the presence of endometriosis. The patient often requires definitive surgery with total abdominal 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.
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Cited by (32)
- Recurrent intramedullary endometriosis of the conus medullaris: A case report of diagnostic pitfalls and a review of literature 2023
- Rare extragenital endometriosis: pathogenesis and therapy 2022
- Endometriosis 2021
- Sciatic endometriosis: A narrative review of an unusual neurogynecologic condition 2020
- A model for radiating leg pain of endometriosis 2016
- 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
- Pain in the upper anterior-lateral part of the thigh in women affected by endometriosis: study of sensitive neuropathy 2013
- Endometriosis 2012
- Endometriosis in the Lumbar Plexus Mimicking a Nerve Sheath Tumor 2011
- A pilot study of the prevalence of leg pain among women with endometriosis 2011
- Cyclic sciatica from extrapelvic endometriosis affecting the sciatic nerve 2010
- Post-traumatic catamenial sciatica 2008
- Endometriosis 2007
- Sciatic endometriosis diagnosed by computerized tomography-guided biopsy and CD10 immunohistochemical staining 2005
- Cyclic sciatica caused by infiltrative endometriosis: MRI findings 2004
- Evidence for asymmetric distribution of sciatic nerve endometriosis 2003
- Laparoscopic findings, management, histopathology, and outcome of 25 women with cyclic leg pain 2002
- Cyclic sciatica related to an extrapelvic endometriosis of the sciatic nerve: new concepts in surgical therapy 2002
- Retroperitoneal endometriosis causing unilateral hip pain 2001
- Phantom endometriosis of the sciatic nerve 1999
- Catamenial mononeuropathy and radiculopathy: a treatable neuropathic disorder 1998
- Cyclic sciatica. A manifestation of compression of the sciatic nerve by endometriosis. A case report 1996
- Intraspinal endometriosis as a possible cause of recurrent back pain and leg monoparesis 1995
- Sciatic endometriosis: MR evaluation 1995
- Endometriosis of the sciatic nerve: case report demonstrating the value of MR imaging 1995
- Adenomyosis--an unusual cause of sciatic pain 1995
- Different types of extragenital endometriosis: a review 1993
- Radicular compression by extradural spinal endometriosis. Case report 1992
- Scar endometriosis: An unusual cause of lower abdominal pain in an adolescent 1992
- Reversal of foot drop in sciatic nerve endometriosis 1991
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