Sciatic Endometriosis
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Magnetic resonance imaging may suggest a diagnosis of sciatic endometriosis, a rare cause of sciatica that can require surgical excision to prevent permanent nerve damage.
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Abstract
Endometriosis of the sciatic nerve is a rare but important cause of sciatica. Early on, the symptoms may be cyclic and be treated with local excision of the endometrioma from the sciatic nerve. If left untreated, it can result in marked cicatricial change of the sciatic nerve and require more radical surgical treatment. Due to the hemorrhagic nature of endometriomas and their characteristic location, the MR imaging findings can permit a specific diagnosis of sciatic endometriosis to be suggested. Therefore, MR imaging is recommended for evaluation of sciatica if the symptoms vary with the menstrual cycle or if there is a history of endometriosis. Early recognition of this disorder will facilitate appropriate treatment and minimize permanent damage to the sciatic nerve. The first surgically proven case of sciatic endometriosis with preoperative MR imaging is presented.
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Cited by (17)
- 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
- Endometriosis of the sciatic nerve with cyclic sciatica 2014
- Pain in the upper anterior-lateral part of the thigh in women affected by endometriosis: study of sensitive neuropathy 2013
- Sciatic endometriosis presenting as periodic (catamenial) sciatic radiculopathy 2012
- A pilot study of the prevalence of leg pain among women with endometriosis 2011
- High density of small nerve fibres in the functional layer of the endometrium in women with endometriosis 2005
- Cyclic sciatica caused by infiltrative endometriosis: MRI findings 2004
- Evidence for asymmetric distribution of sciatic nerve endometriosis 2003
- Evidence for Asymmetric Distribution of Sciatic Nerve Endometriosis 2003
- Laparoscopic Findings, Management, Histopathology, and Outcomes in 25 Women with Cyclic Leg Pain 2002
- Cyclic Sciatica Related to an Extrapelvic Endometriosis of the Sciatic Nerve 2002
- Endometriosis of the Pelvis Presenting as Hip Pain 1999
- Catamenial mononeuropathy and radiculopathy: a treatable neuropathic disorder 1998
- Cyclic Sciatica 1996
- THE OVARY 1993
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- openalex
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- pubmed
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