Pelvic expansion hidden by concomitant lumbar compression as a cause of sciatica - report of three cases

Ekspanzivni procesi v mali medenici, prikriti s sočasno lumbalno kompresijo, kot vzrok lumboishialgije - prikaz treh primerov

Authors

  • Gorazd Bunc University Clinical Centre Maribor, Neurosurgical Department, Maribor, Slovenia; University of Maribor, Faculty of Medicine, Maribor, Slovenia , University Clinical Centre Maribor, Neurosurgical Department, Maribor, Slovenia; University of Maribor, Faculty of Medicine, Maribor, Slovenia Author
  • Janez Ravnik University Clinical Centre Maribor, Neurosurgical Department, Maribor, Slovenia , Univerzitetni klinični center Maribor, Oddelek za nevrokirurgijo, Maribor, Slovenija Author
  • Matjaž Voršič University Clinical Centre Maribor, Neurosurgical Department, Maribor, Slovenia; University of Maribor, Faculty of Medicine, Maribor, Slovenia , Univerzitetni klinični center Maribor, Oddelek za nevrokirurgijo, Maribor, Slovenija; Univerza v Mariboru, Medicinska fakulteta, Maribor, Slovenija Author

DOI:

https://doi.org/10.18690/actabiomed.32

Keywords:

extraspinal nerve root compression, Intraspinal nerve root compression, lumbar radiculopathy, sciatic nerve, malignant nerve sheath tumors genetic markers

Abstract

Purpose: Three patients with sciatica caused by contemporary involvement of intra- and extraspinal compression of the sciatic nerve are presented.

Case report: The diagnostic workup initially revealed intraspinal compression as the cause of sciatica. All patients underwent surgery that did not lead to clinical improvement. Additional diagnosis in two patients and autopsy in one revealed that residual pain was caused by nerve sheath tumors in two cases and pelvic abscess compression of the lumbosacral plexus in the third case.

Conclusion: Extraspinal compression of the sciatic nerve should be considered where standard surgical decompression of the intraspinal cause of sciatica fails to improve the clinical picture.

Author Biography

  • Gorazd Bunc, University Clinical Centre Maribor, Neurosurgical Department, Maribor, Slovenia; University of Maribor, Faculty of Medicine, Maribor, Slovenia, University Clinical Centre Maribor, Neurosurgical Department, Maribor, Slovenia; University of Maribor, Faculty of Medicine, Maribor, Slovenia

    M.D., Maribor, Slovenia. E-mail: gorazd.bunc@ukc-mb.si

Downloads

Published

21.11.2021

Issue

Vol. 3 No. 1 (2010)

Section

Case report

License

Copyright (c) 2010 Acta Medico-Biotechnica

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Bunc, G., Ravnik, J., & Voršič, M. (2021). Pelvic expansion hidden by concomitant lumbar compression as a cause of sciatica - report of three cases: Ekspanzivni procesi v mali medenici, prikriti s sočasno lumbalno kompresijo, kot vzrok lumboishialgije - prikaz treh primerov. Acta Medico-Biotechnica, 3(1), 45-50. https://doi.org/10.18690/actabiomed.32

Most read articles by the same author(s)