Neuritis ossificans of the sciatic nerve

Isla, Alberto; Pérez-López, Carlos; Agustín, Domingo De; Alvarez, Fernando A.; Martínez, José Vicente

doi:10.3171/jns.2004.101.3.0545

Cited by 10 publications

(10 citation statements)

References 4 publications

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“…The current case emphasizes neuritis ossificans as a rare but potentially underacknowledged cause of mononeuropathy in the literature. [2][3][4][5][6][7][8][9][10] Reported sites included the saphenous and tibial nerves, 2 median nerve ossification in a tennis player, 3 and the sciatic nerve. 4,5 Additional idiopathic cases include ulnar neuropathy at the elbow, 7 cranial nerve neuritis ossificans, 8 and common peroneal nerve involvement.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8][9][10] Reported sites included the saphenous and tibial nerves, 2 median nerve ossification in a tennis player, 3 and the sciatic nerve. 4,5 Additional idiopathic cases include ulnar neuropathy at the elbow, 7 cranial nerve neuritis ossificans, 8 and common peroneal nerve involvement. 9,10 Other reported sites of neuropathy due to heterotrophic ossification and the potential predisposing factors include sciatic neuropathy after hip fracture and fixation, 11 biceps femoris muscle strain from weight lifting 12 , and ulnar neuropathy after elbow burns.…”

Section: Discussionmentioning

confidence: 99%

“…Mononeuropathy is a rare cause of neuritis ossificans, and the management is mostly surgical, with common residual nerve injury. [2][3][4][5][6][7][8][9][10] To our knowledge, this is the first case of neuritis ossificans of the radial nerve excised with no residual neurological deficits.…”

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Neuritis Ossificans of the Radial Nerve

Muzaffar¹,

Nawaz²,

Bhat³

et al. 2012

Orthopedics

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Neuritis ossificans is a rare reactive process affecting the peripheral nerves that is challenging to diagnose and treat. The usual presentation is mononeuropathy, pain, variable weakness, and a palpable mass along the nerve distribution. A paucity of literature exists on this disorder. It is often confused with myositis ossificans; many cases in the literature have reported myositic masses that have caused neuropathies. Diagnosing neuritis ossificans requires a high degree of clinical suspicion and excellent radiological and histopathological evaluation. The exact etiology of neuritis ossificans is unclear, but repeated localized trauma may be a factor. Treatment is mostly surgical, although conservative management with drugs has been reported to give good relief. The chance of iatrogenic nerve damage during microsurgical excision is high. This article describes a case of neuritis ossificans of the radial nerve, which was treated by surgical excision of the lesion without nerve resection. No iatrogenic neurodeficit occurred, and the patient made a full recovery. Neuritis ossificans should be considered in the differential diagnosis of painful mononeuropathies, particularly at atypical sites for compression neuropathy. Surgical resection of the mass may relieve pain and improve strength if the nerve can be sufficiently spared. Enucleation of this rare lesion is possible without neural compromise and should be considered as a treatment option for neuritis ossificans.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Neuritis Ossificans of the Radial Nerve

Muzaffar¹,

Nawaz²,

Bhat³

et al. 2012

Orthopedics

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“…Seven cases of neuritis ossificans treated by excision have been reported. [3][4][5][6][7][8] The nerves involved were the digital, ulnar and median in the upper limb and the sciatic, tibial and saphenous in the lower limb. Trigkilidas et al 9 reported an eighth case affecting the common peroneal nerve in 2009.…”

Section: Discussionmentioning

confidence: 99%

Neuritis ossificans of the tibial, common peroneal and lateral sural cutaneous nerves

Katz¹,

Lindskog

Eisen

2011

The Journal of Bone and Joint Surgery. British volume

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We describe a 23-year-old woman with neuritis ossificans involving the tibial, common peroneal and lateral sural nerves. She presented with chronic debilitating posterior knee pain. An MRI scan showed masses in these nerves, biopsy of which revealed a histological diagnosis of neuritis ossificans. Treatment with OxyContin and Neurotin for two years resulted in resolution of symptoms. Follow-up MRI demonstrated a resolution of two of the three masses. There was a persistent area of ossification without associated oedema in the common peroneal nerve. Neuritis ossificans has the histological appearance of myositis ossificans and follows a similar clinical course. The success of conservative treatment in this case suggests that the potential complications of surgical excision can be avoided.

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“…[1][2][3][4][5][6][7] The origin or pathogenesis of this phenomenon is thought to be traumatic in nature. [1][2][3][4][5][6][7] The origin or pathogenesis of this phenomenon is thought to be traumatic in nature.…”

Section: Discussionmentioning

confidence: 99%

Neuritis ossificans of a cranial nerve

Kemper¹,

Rojas

Bauserman

2010

JNS

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The authors report the case of intracranial neuritis ossificans presenting as chronic accessory neuropathy. Neuritis ossificans is a rare reactive nerve disease that has been reported to affect systemic peripheral nerves. To the best of the authors' knowledge, this is the first documented case of neuritis ossificans observed in a cranial nerve. The lesion was revealed on imaging studies and appeared, intraoperatively, as a nonsessile intradural lesion with significant calcification of rootlets of the lower cranial nerves. Microscopically, the lesion featured zonal heterotopic calcification typical of neuritis ossificans. Although it is a rare entity, neuritis ossificans can be considered in the differential diagnosis of lower cranial nerve neuropathy.

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Neuritis ossificans of the sciatic nerve

Cited by 10 publications

References 4 publications

Neuritis Ossificans of the Radial Nerve

Neuritis Ossificans of the Radial Nerve

Neuritis ossificans of the tibial, common peroneal and lateral sural cutaneous nerves

Neuritis ossificans of a cranial nerve

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