Extraspinal Bone and Soft-Tissue Tumors as a Cause of Sciatica

Bickels, Jacob; Kahanovitz, Neil; Rubert, Cynthia K.; Henshaw, Robert M.; Moss, David; Meller, Isaac; Malawer, Martin M.

doi:10.1097/00007632-199908010-00017

Cited by 51 publications

(22 citation statements)

References 17 publications

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“…The nerve divides into the tibial and common peroneal nerves in the lower third of the posterior thigh to give motor supply to the knee flexors and all the muscles of the lower leg. It also supplies cutaneous innervation to the posterior thigh, lower leg, and foot [23,24].…”

Section: Discussionmentioning

confidence: 99%

“…Common etiologies of sciatica can further be grouped into intraspinal (herniated nucleus pulposus, central canal stenosis, degenerative hypertrophy of the facet joints, degenerative synovial cysts of the spinal canal, epidural abscesses, and primary and metastatic neoplasms) and extraspinal sources (lumbosacral involvement by retroperitoneal tumors, endometriosis, and viral infections) [27]. Unusual extraspinal etiologies of sciatica include nerve sheath tumors, sciatic hernias, intrapelvic aneurysms, and large uterine leiomyomas [24,25,28].…”

Section: Discussionmentioning

confidence: 99%

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Acetabular paralabral cyst: an uncommon cause of sciatica

Mw²,

et al. 2003

Skeletal Radiol

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The association between tears of the acetabular labrum and paralabral cysts has been well documented, and magnetic resonance imaging (MRI) has been shown to be the most accurate noninvasive method of depicting not only the normal anatomic structures of the hip, but also the common pathologic processes such as labral tears and paralabral cysts. We present the case of an acetabular paralabral cyst that resulted in clinically symptomatic compression of the sciatic nerve.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acetabular paralabral cyst: an uncommon cause of sciatica

Mw²,

et al. 2003

Skeletal Radiol

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“…The main causes of extraspinal sciatica include sacroiliitis, 6,15 PS, 5,16 intrapelvic processes, 1,4 and hip arthrosis. 17,18…”

Section: Extraspinal Causes Of Sciaticamentioning

confidence: 99%

“…1 However, some intraspinal or extraspinal pathologic processes along the sciatic nerve may also cause sciatica. Whereas lumbar spine imaging reveals the causes of intraspinal non-discogenic sciatica (NDS), extraspinal sciatica is often misdiagnosed because routine diagnostic tests focus on the lumbar spine.…”

Section: Introductionmentioning

confidence: 99%

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Differential diagnosis of intraspinal and extraspinal non-discogenic sciatica

Külcü¹,

Naderi²

2008

Journal of Clinical Neuroscience

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Lumbosacral radicular pain during micturition, defecation or orgasm

Haddad

Hentzen

Breton

et al. 2019

European Journal of Pain

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Background The objective of this study was to describe, in a cohort of patients followed for bladder, bowel or sexual dysfunctions, the occurrence of radicular pain during micturition, defecation and/or orgasm. Methods The study included all patients referred in our neuro‐urology department and who suffered from radicular pain before, during or after micturition, defecation and/or orgasm. Data included demographic and medical variables, urodynamic and perineal electromyographic diagnosis. Results A total of 30 patients (men: 70%, mean age 45.4 ± 11.8,) complained of radicular pain before, during or after orgasm (51.4%), micturition (34.3%), or defecation (14.3%). In 30% of cases, radiculopathy was found and was predicted by micturition pain. Other pathologies were as follows: vertebral (16.5%), pelvis and sacral (16.5%), inflammatory central nervous system (10%) lesions and peripheral neuropathies (6.7%). Neurological level of injury was between the lumbar and the sacral level. All spinal cord lesions were lesions of the conus medullaris. Patients also complained of lower urinary tract symptoms (70%), sexual (63.3%) and bowel (60%) disorders. In most cases, the urodynamic diagnosis was neurogenic bladder with peripheral abnormalities and the electromyographic diagnosis was distal neuropathy. Conclusion Radicular pain occurring during micturition, defecation or orgasm is a rare condition. The most common underlying lesion seems to be radiculopathy, from lumbar to sacral spine. The presence of these symptoms, in the absence of any known neurological condition, should suggest the practitioner a radiculopathy in most of the cases. In consequence, appropriate additional tests should be offered to these patients. Significance Few data are available on sciatica during micturition, defecation or orgasm. This study underlines the need for appropriate tests if a patient complaint from this type of symptom. Indeed, the most common underlying lesion is a radiculopathy but can also be a lesion of conus medullaris.

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Extraspinal Bone and Soft-Tissue Tumors as a Cause of Sciatica

Cited by 51 publications

References 17 publications

Acetabular paralabral cyst: an uncommon cause of sciatica

Acetabular paralabral cyst: an uncommon cause of sciatica

Differential diagnosis of intraspinal and extraspinal non-discogenic sciatica

Lumbosacral radicular pain during micturition, defecation or orgasm

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