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Lumbosacral nerve plexus compression by ovarian-fallopian cysts
Clinical and Experimental Neurology
|January 1, 1986
Summary
Pelvic cysts, specifically fallopian and ovarian cysts, can cause sciatic nerve compression, leading to calf pain and weakness. Surgical exploration confirmed these cysts as the source of neurological symptoms.
Area of Science:
- Neurology
- Gynecology
- Surgical Pathology
Background:
- Nerve compression syndromes can present with diverse neurological deficits.
- Pelvic pathologies, including gynecological cysts, are infrequently associated with neurological symptoms.
Observation:
- A 43-year-old female experienced a 10-month history of left calf pain, progressive weakness, and muscle wasting.
- Electromyography revealed denervation in the lumbosacral plexus, specifically affecting the sciatic nerve component.
Findings:
- Imaging studies (CT and ultrasound) identified intrapelvic cysts.
- Surgical exploration confirmed the cysts to be of fallopian and ovarian origin.
Implications:
- This case highlights the importance of considering intrapelvic gynecological pathology in the differential diagnosis of sciatic neuropathy.
- Early diagnosis and surgical intervention for pelvic cysts can potentially alleviate neurological deficits and improve patient outcomes.