1. An unexpected etiology of lumbosciatica.
- Author
-
Zitouna K, Selmene MA, Derbel B, Rekik S, Drissi G, and Barsaoui M
- Subjects
- Adult, Aneurysm, False diagnosis, Aneurysm, False surgery, Humans, Intervertebral Disc Degeneration diagnosis, Intervertebral Disc Degeneration etiology, Intervertebral Disc Degeneration surgery, Intervertebral Disc Displacement diagnosis, Intervertebral Disc Displacement etiology, Intervertebral Disc Displacement surgery, Lumbar Vertebrae, Lumbosacral Region, Magnetic Resonance Imaging, Male, Nerve Compression Syndromes surgery, Sciatica pathology, Sciatica surgery, Aneurysm, False complications, Iliac Artery pathology, Iliac Artery surgery, Nerve Compression Syndromes diagnosis, Nerve Compression Syndromes etiology, Sciatica diagnosis, Sciatica etiology
- Abstract
Lumbosciatica is a frequent symptom. When it is hyperalgic and/or deficient, it requires urgent exploration and an eventual surgical procedure. In most of the cases, medullary lumbar (instead of medullary) MRI is required looking in the first place at an intervertebral disc herniation. Other etiologies are rare but must be kept in mind. We report a case of a 37-year-old man with left L5 hyperalgic and deficient lumbosciatica. The conclusion of the etiological research led to pseudoaneurysm of the internal iliac artery compressing the ipsilateral sciatic nerve. The patient was operated on with a good clinical course.
- Published
- 2019