Cyclic Sciatica

Dhôte R, R Dhôte, Robin Dhôte, L Tudoret, Tudoret L, Bachmeyer C, C Bachmeyer, Claude Bachmeyer, P. Legmann, Legmann P, Christoforov B, B Christoforov
Spine · 1996 · vol. 21(19) , pp. 2277–2279 · doi:10.1097/00007632-199610010-00021 · PMID:8902975 · W2009208078
article OA: closed CC0 ⤵ 32 in-corpus citations
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This paper presents a case of cyclic sciatica caused by ovarian endometriosis, describing its magnetic resonance imaging findings which can aid in diagnosis and prevent nerve damage.

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Abstract

STUDY DESIGN: A case of cyclic sciatica secondary to ovarian cyst endometriosis is presented. OBJECTIVES: To report the clinical description and magnetic resonance imaging aspects of cyclic sciatica. SUMMARY OF BACKGROUND DATA: Endometriosis of the sciatic nerve is rare, but must be included in the differential diagnosis of sciatic mononeuropathies. METHODS: The authors report a new case of a woman whose cyclic sciatica was caused by an ovarian cystic endometriosis lesion. RESULTS: Magnetic resonance imaging was described as hyper- and hypointense on T1-weighted sequences, and hyperintense on T2-weighted sequences at the sciatic notch. CONCLUSION: Magnetic resonance imaging may permit a specific diagnosis of this unusual cause of sciatica by showing a hemorrhagic mass in the region of the sciatic nerve. Early recognition is necessary to prevent permanent damage to the sciatic nerve.
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Objectives

To report the clinical description and magnetic resonance imaging aspects of cyclic sciatica. Summary of Background Data Endometriosis of the sciatic nerve is rare, but must be included in the differential diagnosis of sciatic mononeuropathies.

Methods

The authors report a new case of a woman whose cyclic sciatica was caused by an ovarian cystic endometriosis lesion.

Results

Magnetic resonance imaging was described as hyper- and hypointense on T1-weighted sequences, and hyperintense on T2-weighted sequences at the sciatic notch.

Conclusion

Magnetic resonance imaging may permit a specific diagnosis of this unusual cause of sciatica by showing a hemorrhagic mass in the region of the sciatic nerve. Early recognition is necessary to prevent permanent damage to the sciatic nerve.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Endometriosis Nerve Compression Syndromes Ovarian Cysts Ovarian Cysts Peripheral Nervous System Diseases Sciatica Sciatic Nerve Vertebral Artery Adult Endometriosis Endometriosis Female Humans Magnetic Resonance Imaging Nerve Compression Syndromes Ovarian Cysts Ovarian Cysts Peripheral Nervous System Diseases Sciatica

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.

References (10)

Cited by (30)

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License: CC0 · commercial use OK