Sciatica Caused by Venous Varix Compression of the Sciatic Nerve

Pacult, Mark A.; Henderson, Fraser; Wooster, Mathew; Varma, Abhay K.

doi:10.1016/j.wneu.2018.06.058

Cited by 17 publications

(4 citation statements)

References 10 publications

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“… 2 , 9 , 14 , 15 Although we cannot be certain that this venous complex was the primary cause of ulnar nerve compression, its presence coinciding with an associated hourglass nerve deformation and clinical improvement after surgical release of the structure supports that it may have at least contributed to the patient’s symptoms. Neuropathy associated with similar cases of venous compression has been described as causes of sciatica 22 and trigeminal neuralgia. 33 …”

Section: Discussionmentioning

confidence: 91%

Cubital tunnel compression neuropathy in the presence of an anomalous venous complex: a case study

Kelley¹,

Hubbard²,

Belton³

2023

JSES Reviews, Reports, and Techniques

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Section: Discussionmentioning

confidence: 91%

Cubital tunnel compression neuropathy in the presence of an anomalous venous complex: a case study

Kelley¹,

Hubbard²,

Belton³

2023

JSES Reviews, Reports, and Techniques

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“…[ 9 ] In very rare cases, venous compression has been described as a cause of peripheral neuropathy. [ 6 , 7 ] If the lesion is located close to the sciatic nerve, it may mimic symptoms commonly known as lumbar disc herniation or spinal canal stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…[ 1 , 3 ] In a few cases, venous varicosis with compression of the sciatic nerve has been reported as a cause of the extraspinal origin of lower extremity radicular pain. [ 2 , 7 ]…”

Section: Discussionmentioning

confidence: 99%

Local compression of the sciatic nerve by a vascular malformation as a rare cause of sciatica: A case report and review of literature

Lackermair,

Egermann,

Müller

et al. 2024

Surgical Neurology International

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Background: Sciatica is typically caused by disc herniations or spinal stenosis. Extraspinal compression of the sciatic nerve is less frequent. Case Description: We report a rare case of sciatica with compression of the sciatic nerve by a low-flow vascular malformation in a 24-year-old female patient. The special feature of this case was sciatica along the S1 dermatome, which only occurred in the sitting position and inclination because of compression of the sciatic nerve between the vascular malformation and the lesser trochanter. Spinal imaging showed no abnormal findings. Surgery was performed interdisciplinary and included neurosurgery, vascular surgery, and trauma surgery. After surgery, the patient became symptom-free. Conclusion: Rare and extraspinal causes of local compression of the sciatic nerve should be considered, especially in cases of lacking spinal imaging correlation and untypical clinical presentation. Interdisciplinary surgical cooperation is of special value in cases of rare entities and uncommon locations.

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“…More commonly, several reports have documented venous varicosities in the deep gluteal area entrapping the SN and leading to radiating gluteal pain that is successfully treated with varix resection. 12…”

Section: Vascular Structuresmentioning

confidence: 99%

Deep Gluteal Pain in Orthopaedics: A Challenging Diagnosis

Gonzalez-Lomas

2021

J Am Acad Orthop Surg

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Identifying the specific source of gluteal pain can elude the most seasoned orthopaedic diagnosticians. Patients will often present with a protracted course of symptoms, and failure to successfully identify and treat the underlying etiology leads to frustration for both patient and clinician. Pain deep in the buttocks can arise from compression, inflammation, or injury of one or more of the structures in this anatomically dense area. Although sacroiliitis, hip arthritis, and trochanteric bursitis may also masquerade as gluteal pain, sciatic nerve irritation in its various presentations causes a substantial percentage of cases. Deep gluteal syndrome, hamstring syndrome, and ischiofemoral impingement can have overlapping presentations but can be differentiated by clinical examination and judiciously placed diagnostic corticosteroid injections. Although nonsurgical management, including physical therapy, relative rest, and injections represent the mainstay of treatment, open and endoscopic surgical approaches have yielded encouraging success rates in refractory cases.

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Sciatica Caused by Venous Varix Compression of the Sciatic Nerve

Cited by 17 publications

References 10 publications

Cubital tunnel compression neuropathy in the presence of an anomalous venous complex: a case study

Cubital tunnel compression neuropathy in the presence of an anomalous venous complex: a case study

Local compression of the sciatic nerve by a vascular malformation as a rare cause of sciatica: A case report and review of literature

Deep Gluteal Pain in Orthopaedics: A Challenging Diagnosis

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