Cyclic Sciatica

Keiichi Takata, K Takata, Takata K, Kazuhisa Takahashi, K. Takahashi, Takahashi K
Spine · 1994 · vol. 19(1) , pp. 89–90 · doi:10.1097/00007632-199401000-00020 · PMID:8153814 · W2057532028
article OA: closed CC0 ⤵ 12 in-corpus citations
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A case report details a woman with periodic sciatica related to menses whose symptoms resolved after hormonal therapy for a pelvic endometrioma compressing the sciatic nerve.

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This case report describes a 41-year-old woman experiencing periodic sciatica that coincided with her menstrual cycle. Imaging revealed an endometrioma in the pelvic cavity compressing the right sciatic nerve, and treatment with buserelin acetate successfully eliminated her symptoms by suppressing menstruation. The authors conclude that orthopedic surgeons should consider cyclic sciatica caused by endometrioma when patients present with sciatic pain linked to their menses. This paper is centrally about endometriosis — specifically, it illustrates how pelvic endometriomas can cause extrapelvic neurological symptoms like sciatica.

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Abstract

We report a case of endometrioma in the pelvic cavity. A 41-year-old woman presented with a peculiar periodic sciatica associated with her menses. Computed tomography showed an oval-shaped mass in the pelvic cavity compressing the right sciatic nerve. To confirm the diagnosis, hormonal therapy through nose dropping of buserelin acetate was given to stop menstruation. After treatment, her symptoms disappeared completely. When a sciatica is closely related to menses, orthopedic surgeons should consider cyclic sciatica resulting from endometrioma as a differential diagnosis.
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Case Report: PDF Only Cyclic Sciatica A Case Report - Keiichi Takata - Kazuhisa Takahashi We report a case of endometrioma in the pelvic cavity. A 41-year-old woman presented with a peculiar periodic sciatica associated with her menses. Computed tomography showed an oval-shaped mass in the pelvic cavity compressing the right sciatic nerve. To confirm the diagnosis, hormonal therapy through nose dropping of buserelin acetate was given to stop menstruation. After treatment, her symptoms disappeared completely. When a sciatica is closely related to menses, orthopedic surgeons should consider cyclic sciatica resulting from endometrioma as a differential diagnosis. Copyright © Lippincott-Raven Publishers.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Sciatica Adult Buserelin Buserelin Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Periodicity Sciatica Sciatica Tomography, X-Ray Computed

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