Document Detail


Internal iliac artery pseudoaneurysm: an unusual cause of sciatica and lumbosacral plexopathy.
MedLine Citation:
PMID:  18388559     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes an unusual case of lumbosacral plexopathy resulting from internal iliac artery pseudoaneurysm. A 50-yr-old woman presented with multiple penetrating trauma to the thorax, abdomen, and left buttock. Several weeks after the injury, severe sciatica and motor dysfunction developed in her left leg. Progressively worsening pain was followed by left foot drop. An electrodiagnostic evaluation suggested a lower lumbosacral plexopathy. Magnetic resonance imaging showed a hematoma extending adjacent to the left lumbosacral plexus. Computerized tomographic angiography revealed a left internal iliac artery pseudoaneurysm. The pseudoaneurysm was excised surgically. In the early postoperative period, the patient reported total relief of pain. Her motor function recovered gradually over several weeks; however, some residual weakness of foot dorsiflexion persisted. With this case presentation, we underscore that an arterial pseudoaneurysm should be remembered as an etiologic possibility of lumbosacral plexopathy and sciatica, especially in patients with history of iatrogenic or accidental trauma. An increased awareness of this rare cause of sciatica and lumbosacral plexopathy may enable early intervention alternatives.
Authors:
Meltem Alkan Melikoglu; Hilal Kocabas; Ilhan Sezer; Ali Akdag; Erdal Gilgil; Bulent Butun
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  87     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-22     Completed Date:  2008-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  681-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, School of Medicine, Akdeniz University, Antalya, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / diagnosis*,  surgery
Female
Humans
Iliac Artery / surgery*
Lumbosacral Plexus*
Middle Aged
Peripheral Nervous System Diseases / etiology*
Sciatica / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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