Department of Radiology, McMaster University, Hamilton, ON, Canada.
J Clin Rheumatol. 2009 Dec;15(8):387-8. doi: 10.1097/RHU.0b013e3181c427ff.
A 77-year-old woman presented with gradually progressing right sciatica of 2 years duration. She was investigated with a magnetic resonance imaging of the lumbosacral spine which did not reveal any abnormality. Magnetic resonance imaging of the pelvis was then performed and revealed right inferior gluteal vein varicosities causing compression of the adjacent sciatic nerve resulting in sciatica. Pain was relieved by walking likely due to collapse of the vein. This patient declined surgery but benefit has been reported in similar cases.
一位 77 岁女性因右坐骨神经痛逐渐加重 2 年就诊。对其进行腰骶部磁共振成像检查,但未发现任何异常。然后对骨盆进行磁共振成像检查,发现右侧臀下静脉静脉曲张,导致邻近坐骨神经受压,引起坐骨神经痛。行走时疼痛缓解,可能是由于静脉塌陷所致。该患者拒绝手术,但类似病例有报道称手术有益。