Department of Neurosurgery, College of Medicine, Yonsei University Gangnam Severance Hospital, Seoul, Korea.
Korean J Pain. 2014 Oct;27(4):360-4. doi: 10.3344/kjp.2014.27.4.360. Epub 2014 Oct 1.
The causes of sciatica are variable and include musculoskeletal, dermatologic, infectious, neoplastic, and vascular disorders. In many cases, the symptom is usually caused by degenerative disease in the spine with the compression or irritation of spinal nerve. On the other hands, there are also several announced extra-spinal causes including aneurysm, diabetes, and radiation for sciatica in a low rate. Among the extra-spinal cases, aneurysms arising from iliac vessels are sometimes developing a diagnostic confusion with the spinal causes, and delayed diagnosis can lead to poor prognosis. It is very important to pay attention weather the aneurysmal cause is involved in the symptom of sciatica.
坐骨神经痛的病因多种多样，包括肌肉骨骼、皮肤、感染、肿瘤和血管疾病。在许多情况下，症状通常是由脊柱退行性疾病引起的，脊柱神经受压或受刺激。另一方面，也有一些已公布的非脊柱原因，包括动脉瘤、糖尿病和放疗，其导致坐骨神经痛的概率较低。在非脊柱病例中，髂血管的动脉瘤有时会与脊柱原因产生诊断混淆，延迟诊断可能导致预后不良。因此，非常有必要注意坐骨神经痛的症状是否与动脉瘤的病因有关。
