髂内动脉瘤压迫坐骨神经。

Sciatic nerve compression by an aneurysm of the internal iliac artery.

作者信息

Geelen J A, de Graaff R, Biemans R G, Prevo R L, Koch P W

出版信息

Clin Neurol Neurosurg. 1985;87(3):219-22. doi: 10.1016/0303-8467(85)90011-3.

Abstract

A 73-year-old female with severe sciatica suffered from an aneurysm of the left internal iliac artery. At first minimal caudographic abnormalities suggested intervertebral disc herniation and lumbar root compression but at exploratory surgery the diagnosis had to be rejected. Once the correct diagnosis was established by echography, CT-scanning and angiography surgical treatment of the aneurysm resulted in complete recovery. Because sciatic nerve lesions due to aneurysms in the pelvic region very seldom occur and may be the cause of diagnostic confusion, symptoms and treatment of these aneurysms are discussed.

摘要

一名73岁患有严重坐骨神经痛的女性患有左髂内动脉瘤。起初，造影检查显示的轻微异常提示椎间盘突出和腰神经根受压，但在探查性手术中，该诊断被排除。通过超声检查、CT扫描和血管造影确诊后，对动脉瘤进行手术治疗，患者完全康复。由于盆腔区域动脉瘤导致的坐骨神经损伤非常罕见，且可能导致诊断混淆，因此本文讨论了这些动脉瘤的症状及治疗方法。