Magnetic resonance imaging evidence for perineural spread of endometriosis to the lumbosacral plexus: report of 2 cases

Neurosurgical Focus
Ana C Siquara de SousaRobert J Spinner

Abstract

Sciatic nerve endometriosis (EM) is a rare presentation of retroperitoneal EM. The authors present 2 cases of catamenial sciatica diagnosed as sciatic nerve EM. They propose that both cases can be explained by perineural spread of EM from the uterus to the sacral plexus along the pelvic autonomie nerves and then further distally to the sciatic nerve or proximally to the spinal nerves. This explanation is supported by MRI evidence in both cases. As a proof of concept, the authors retrieved and analyzed the original MRI studies of a case reported in the literature and found a similar pattern of spread. They believe that the imaging evidence of their institutional cases together with the outside case is a very compelling indication for perineural spread as a mechanism of EM of the nerve.

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Citations

Aug 25, 2015·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Ana C Siquara De SousaRobert J Spinner
Apr 15, 2016·The Journal of Obstetrics and Gynaecology Research·Canan CimsitIhsan Nuri Akpinar
Apr 23, 2016·Muscle & Nerve·Zsuzsanna ArányiZsuzsanna Göcsei
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Feb 10, 2017·Advances in Anatomic Pathology·Mansour MoghimiAmir Aryanfar
Jun 28, 2017·Diagnostic and Interventional Imaging·C BourgiotiL A Moulopoulos

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BETA
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