Sciatic Endometriosis

Larry A. Binkovitz, Binkovitz LA, L A Binkovitz, Bernard F. King, B F King, King BF, Ehman RL, Richard L. Ehman, R L Ehman
Journal of computer assisted tomography · 1991 · vol. 15(3) , pp. 508–510 · doi:10.1097/00004728-199105000-00035 · PMID:2026822 · W1991440915
article OA: closed CC0 ⤵ 17 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-21 ⓘ

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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This paper presents the first surgically proven case of sciatic endometriosis supported by preoperative magnetic resonance imaging findings. The authors highlight that while this condition is a rare cause of sciatica, its hemorrhagic nature and specific location allow MR imaging to suggest a definitive diagnosis, particularly when symptoms vary with the menstrual cycle. Early recognition via imaging is emphasized as critical for facilitating appropriate treatment and minimizing permanent nerve damage. This paper is centrally about endometriosis — specifically the rare manifestation of sciatic endometriosis and its diagnostic imaging characteristics.

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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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Sciatic Endometriosis MR Appearance - Larry A. Binkovitz - Bernard F. King - Richard L. Ehman 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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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Magnetic Resonance Imaging Peripheral Nervous System Neoplasms Sciatic Nerve Adult Endometriosis Female Humans Peripheral Nervous System Neoplasms

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

Cited by (17)

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License: CC0 · commercial use OK