Cyclic sciatica in a patient with deep monolateral endometriosis infiltrating the right sciatic nerve.
Marcello Ceccaroni1, Roberto Clarizia, Stefano Cosma
1*Gynecologic Oncology Division, International School of Surgical Anatomy, European Gynaecology Endoscopy School, Negrar, Verona, Italy.
Journal of Spinal Disorders & Techniques
|September 28, 2011
Summary
Endometriosis can infiltrate pelvic nerves, causing neuropathic pain in the lower extremities. Laparoscopic neurolysis offers a potential surgical solution for this condition.
Area of Science:
- Neurology
- Gynecology
- Surgical Science
Background:
- Pelvic endometriosis can infiltrate pelvic walls and somatic nerves.
- This infiltration may lead to severe neuropathic symptoms.
Observation:
- A case report details a 41-year-old woman with deep infiltrating pelvic endometriosis.
- The endometriosis involved the sciatic nerve and pelvic wall, causing right sciatica.
Findings:
- The patient underwent laparoscopic neurolysis of the affected somatic nerves.
- This surgical intervention was performed following the Possover operation technique.
Implications:
- Endometriosis is an inflammatory disease with the potential to infiltrate somatic nerves.
- Laparoscopic neurolysis can be an effective etiological therapy for neurological symptoms caused by nerve infiltration or compression.
