Sequential imaging of intraneural sciatic nerve endometriosis provides insight into symptoms of cyclical sciatica
Language English Country Austria Media print-electronic
Document type Case Reports, Journal Article
PubMed
26743918
DOI
10.1007/s00701-015-2683-2
PII: 10.1007/s00701-015-2683-2
Knihovny.cz E-resources
- Keywords
- Catamenial, Cyclic, Endometriosis, Nerve, Sciatic nerve, Sciatica,
- MeSH
- Uterine Hemorrhage etiology pathology MeSH
- Endometriosis pathology MeSH
- Sciatica diagnosis pathology MeSH
- Middle Aged MeSH
- Humans MeSH
- Luteal Phase MeSH
- Magnetic Resonance Imaging MeSH
- Menstruation MeSH
- Menstrual Cycle MeSH
- Sciatic Nerve pathology MeSH
- Lumbosacral Plexus pathology MeSH
- Recurrence MeSH
- Uterus pathology MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Endometriosis of the nerve often remains an elusive diagnosis. We report the first case of intraneural lumbosacral plexus endometriosis with sequential imaging at different phases of the menstrual cycle: during the luteal phase and menstruation. Compared to the first examination, the examination performed during the patient's period revealed the lumbosacral plexus larger and hyperintense on T2-weighted imaging. The intraneural endometriosis cyst was also larger and showed recent hemorrhage. Additionally, this case represents another example of perineural spread of endometriosis from the uterus to the lumbosacral plexus along the autonomic nerves and then distally to the sciatic nerve and proximally to the spinal nerves.
2nd Faculty of Medicine Charles University Prague 5 Uvalu 84 150 06 Prague 5 Czech Republic
Department of Laboratory Medicine and Pathology Mayo Clinic 200 1st Street Rochester MN 55905 USA
Department of Neurology Mayo Clinic 200 1st Street Rochester MN 55905 USA
Department of Neurosurgery Mayo Clinic 200 1st Street SW Rochester MN 55905 USA
Department of Radiology Mayo Clinic 200 1st Street Rochester MN 55905 USA
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