Srinivasan Jayashri, Escolar Diane, Ryan Monique, Darras Basil, Jones H Royden
Department of Neurology, Lahey Clinic, 41 Mall Rd, Burlington, MA 01805, USA.
J Child Neurol. 2008 Jul;23(7):738-41. doi: 10.1177/0883073808314163.
Four cases of pediatric sciatic neuropathies due to unusual vascular mechanisms are reported. Pediatric sciatic neuropathies were seen after umbilical artery catheterization, embolization of arteriovenous malformation, meningococcemia, and hypereosinophilic vasculitis. Electrophysiologic studies demonstrated abnormalities in motor studies of peroneal and tibial nerves. Sensory studies demonstrated abnormalities of sural and superficial peroneal nerves. Results of needle electromyography were abnormal in sciatic-innervated muscles. Prognosis was variable and depended on the severity of the initial nerve injury.
报告了4例因不寻常血管机制导致的小儿坐骨神经病变。小儿坐骨神经病变见于脐动脉插管、动静脉畸形栓塞、脑膜炎球菌血症和嗜酸性粒细胞增多性血管炎后。电生理研究显示腓总神经和胫神经运动研究异常。感觉研究显示腓肠神经和腓浅神经异常。针极肌电图结果显示坐骨神经支配的肌肉异常。预后各不相同,取决于初始神经损伤的严重程度。