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Traumatic venous varix causing sciatic neuropathy: case report.

Allen Maniker1, James Thurmond, Frank T Padberg

  • 1Department of Neurological Surgery, New Jersey Medical School, 90 Bergen Street, 8th Floor, Newark, NJ 07103, USA. maniker@umdnj.edu

Neurosurgery
|March 29, 2005
PubMed
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A rare case of sciatic neuropathy caused by a traumatic inferior gluteal vein varix after a fall is presented. Surgical resection successfully treated the venous varix and relieved sciatic nerve compression symptoms.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Trauma Surgery

Background:

  • Sciatic neuropathy typically results from direct nerve injury or significant trauma.
  • Nonpenetrating trauma rarely causes sciatic neuropathy due to anatomical protection of the nerve.

Observation:

  • A patient developed sciatic neuropathy after a fall, presenting with leg paresthesia and foot numbness.
  • Magnetic resonance imaging identified a vascular lesion compressing the sciatic nerve.
  • The lesion was diagnosed as a traumatic venous varix of the inferior gluteal vein.

Findings:

  • This is the first reported case of sciatic neuropathy caused by a traumatic inferior gluteal vein varix.
  • Surgical resection of the venous varix effectively resolved the sciatic nerve compression.

Related Experiment Videos

  • The patient experienced complete relief from pain and neurological deficits post-surgery.

    • Implications:

    • Highlights a rare but treatable cause of sciatic neuropathy following trauma.
    • Demonstrates the efficacy of surgical intervention for venous varix-induced nerve compression.
    • Emphasizes the importance of considering vascular anomalies in nonpenetrating sciatic neuropathy cases.