Sciatic endometriosis presenting as periodic (catamenial) sciatic radiculopathy
- 246 Downloads
Many causes of traumatic sciatic neuropathy have been described in the literature , but extrapelvic endometriosis of the gluteal region presenting as sciatica remains difficult to recognize. Here, we present the case of a 45-year-old woman with a history of lower back pain and lower limb stiffness in whom hip MRI showed multiple loci of endometriosis localized in both iliac muscles and in the right gluteus.
The woman presented with a 15-day history of lower back pain and impaired ambulation. Neurological examination showed lower limb stiffness with left leg flexure and right leg hyperextension, right foot dorsiflexion deficit, positive Lasègue sign, gait disturbance and severe pain with apparent (L4)-L5-S1 distribution. An EMG and a spinal cord MRI scan had previously been performed without any pathological findings. Intravenously administered myorelaxants and NSAIDs were tried without any benefit. Her past medical history was consistent only with diabetes. Routine blood...
KeywordsLower Back Pain Luteinizing Hormone Endometriosis Sciatic Nerve Leuprorelin
This work was supported by grants from the Monzino Foundation.
Conflicts of interest