Láinez J M, Yaya R, Lluch V, Casado I, Morera J, Sancho J
Med Clin (Barc). 1989 Apr 1;92(12):462-4.
We report three patients who presented pain in the sciatic-crural region as presenting feature of an aneurysm of the abdominal aorta. The first patient developed a fullblown plexopathy with bad condition due to a large aneurysm of common iliac artery. The remaining two patients had abdominal aneurysms each that manifested as femoral neuropathy in one case and as L5-S1 radiculopathy in the other patient. The mechanism of neural involvement is discussed and those clinical and radiologic findings which may prompt us to think of such etiology in front of painful clinical pictures in this region are emphasized.
我们报告了三名患者,他们以坐骨-股部区域疼痛为腹主动脉瘤的首发症状。首例患者因髂总动脉大动脉瘤发展为严重的全臂丛神经病变。其余两名患者均患有腹主动脉瘤,其中一例表现为股神经病变,另一例表现为L5-S1神经根病变。本文讨论了神经受累的机制,并强调了在该区域出现疼痛性临床表现时,可能促使我们想到这种病因的临床和影像学表现。