A case of sciatica revealing a giant syphilitic aneurysm

Giovanni Tinelli, Luca Padua, Francesco Iodice, Emanuele Maria Costantini, Tommaso Verdolotti

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

One of the most common, and sometimes challenging, conditions in neurological practice is sciatic neuropathy, a sharp pain radiating in the posterior or lateral side of the leg, eventually complicated by motor and sensory deficits. Mechanical causes like a sprain of the lumbar spine and degenerative processes of the disc, disc herniation, and spinal canal stenosis, but also visceral causes like ectopic endometriosis or ovarian cysts, primary or secondary neoplastic conditions of vertebrae, spinal cord or nerve trunks, inflammatory syndromes and infections can potentially be surgically treated. Clinical and instrumental data should guide the clinician in the identification of atypical sciatica where the surgery will have no effect. We report an atypical case of sciatic neuro- pathy revealing a giant iliac artery aneurysm secondary to tertiary sy- philis. We describe a case of a 79-years-old man reporting 3 months right sciatica associated with progressive numbness, followed by weakness of dorsiflexion of the right foot.
Lingua originaleEnglish
pagine (da-a)97-100
Numero di pagine4
RivistaClinical Neurology and Neurosurgery
Volume2018
DOI
Stato di pubblicazionePubblicato - 2018

Keywords

  • EMG
  • Iliac artery giant aneurysm
  • Magnetic resonance imaging
  • Sciatic neuropathy
  • Tertiary syphilis

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