Sciatic neuropathy following endovascular treatment of a limb vascular malformation
John P Ney1, William Shih, Mark E Landau
1Madigan Army Medical Center, Neurology Service, 9040A Fitzsimmons Dr, Tacoma, WA 98431, USA. john.ney@us.army.mil
Background:
Endovascular therapy for vascular malformations is one of the treatment options for limb vascular malformations.
Case Presentation:
A patient with a vascular malformation of the hip developed ipsilateral leg weakness immediately after endovascular embolization and sclerotherapy. Clinical and electrodiagnostic findings later confirmed an incomplete sciatic neuropathy.
Conclusion:
We propose that endovascular treatment compromised the patient's sciatic nerve either through direct neurotoxicity of the sclerosing agent or ischemic injury.
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