Electrodiagnosis Corner: Sciatic Neuropathy: Case Report and Discussion of the Literature on Post-Operative Sciatic Neuropathy and Sciatic Nerve Tumors

HSS Journal


Joseph H. Feinberg, MD

Physiatrist-in-Chief, Hospital for Special Surgery
Co-Medical Director, Center for Brachial Plexus and Traumatic Nerve Injury
Associate Professor of Rehabilitation Medicine, Weill Cornell Medical College

Shikha Sethi, MD
Electrodiagnostic Services
Deparment of Physiatry
Hospital for Special Surgery

Abstract:
Sciatic nerve injury and dysfunction is not an uncommon cause of lower extremity symptoms in a musculoskeletal practice. We present the case of a man who presented with lower extremity weakness, pain, and cramps, and was initially diagnosed at an outside institution with bilateral S1 radiculopathies and recommended for spine surgery. He came to us for a second opinion. Electrodiagnostic testing revealed an isolated sciatic neuropathy and the patient was referred for imaging, which showed a sciatic nerve sheath tumor. Review of the literature on sciatic neuropathies shows that there can be many possible etiologies of sciatic nerve dysfunction, but that hip arthroplasty continues to be the leading risk factor. Sciatic nerve tumors are not commonly described in the literature and their definitive management remains unclear.

This article appears in HSS Journal: Volume 2, Number 2.
View the full article at springerlink.com.


About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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