关键词: AVM Compression Sciatic nerve Sciatica

Mesh : Adult Arteriovenous Malformations / complications Chronic Disease Humans Male Nerve Compression Syndromes / etiology Sciatic Nerve

来  源:   DOI:10.1308/rcsann.2020.7134   PDF(Pubmed)

Abstract:
Sciatic nerve symptomatology may arise from both intra- and extra-neural pathology, at any point along descent from the sacral plexus to its bifurcation. The potential aetiology is broad, ranging from degenerative spinal disease to muscle, bony and vascular pathology. We present an extremely unusual case of position and exercise-induced nerve compression secondary to arteriovenous malformation and review the potential extraspinal causes, many of which may be ameliorated by surgical excision or decompression. We further discuss the usefulness of diagnostic imaging, specific clinical tests and histopathological tools that may aid in management.
摘要:
坐骨神经症状可能来自神经内和神经外病理学,从骶丛下降到分叉的任何一点。潜在的病因是广泛的,从退行性脊柱疾病到肌肉,骨和血管病理学。我们提出了一个极为罕见的病例,位置和运动引起的神经压迫继发于动静脉畸形,并回顾了潜在的脊柱外原因。其中许多可以通过手术切除或减压来改善。我们进一步讨论诊断成像的有用性,具体的临床试验和组织病理学工具,可能有助于管理。
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