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Related Experiment Videos

[Cyclic sciatica and extrauterine endometriosis]

W Jelk1, R Estapé

  • 1Klinik für Rehabilitation und Geriatrie, Kantonsspital Bruderholz.

Praxis
|November 14, 1995
PubMed
Summary

Ectopic endometriosis can cause cyclic sciatica by compressing lumbar nerve roots. Early recognition of cyclic pain and tenderness can avoid delayed diagnosis and unnecessary treatments.

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Area of Science:

  • Neurology
  • Gynecology
  • Radiology

Background:

  • Ectopic endometriosis is an uncommon cause of sciatic nerve compression.
  • Cyclic sciatica, linked to menstruation, presents as lumbar radicular pain.

Observation:

  • A 38-year-old patient experienced progressive right-sided sciatica over 2.5 years, coinciding with menstruation.
  • Clinical presentation included lumboradicular syndrome with S1-root involvement.

Findings:

  • Computed tomography (CT) and magnetic resonance (MR) imaging suggested sciatic nerve compression in the sciatic notch region.
  • Prompt response to hormonal suppression of ovarian function and regression of radiological findings confirmed ectopic endometriosis.

Implications:

  • Early identification of cyclic pain and tenderness can prevent delayed diagnosis and unnecessary procedures.
  • This case highlights the importance of considering endometriosis in cyclic sciatica.
  • Effective treatment involves hormonal suppression and potentially surgical intervention.

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