Acute Sciatic Neuritis following Lumbar Laminectomy
It is commonly accepted that the common cause of acute/chronic pain in the distribution of the lumbosacral nerve roots is the herniation of a lumbar intervertebral disc, unless proven otherwise. The surgical treatment of lumbar disc herniation is successful in radicular pain and prevents or limits n...
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doaj-cf39ae7380914ee2af6a0e968fad268b2020-11-24T23:01:56ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/404386404386Acute Sciatic Neuritis following Lumbar LaminectomyFoad Elahi0Patrick Hitchon1Chandan G. Reddy2Center of Pain Medicine, University of Iowa, 200 Hawkins Drive, 5JPP, Iowa City, IA 52242, USADepartment of Neurosurgery, University of Iowa, Iowa City, IA, USADepartment of Neurosurgery, University of Iowa, Iowa City, IA, USAIt is commonly accepted that the common cause of acute/chronic pain in the distribution of the lumbosacral nerve roots is the herniation of a lumbar intervertebral disc, unless proven otherwise. The surgical treatment of lumbar disc herniation is successful in radicular pain and prevents or limits neurological damage in the majority of patients. Recurrence of sciatica after a successful disc surgery can be due to many possible etiologies. In the clinical setting we believe that the term sciatica might be associated with inflammation. We report a case of acute sciatic neuritis presented with significant persistent pain shortly after a successful disc surgery. The patient is a 59-year-old female with complaint of newly onset sciatica after complete pain resolution following a successful lumbar laminectomy for acute disc extrusion. In order to manage the patient’s newly onset pain, the patient had multiple pain management visits which provided minimum relief. Persistent sciatica and consistent physical examination findings urged us to perform a pelvic MRI to visualize suspected pathology, which revealed right side sciatic neuritis. She responded to the electrical neuromodulation. Review of the literature on sciatic neuritis shows this is the first case report of sciatic neuritis subsequent to lumbar laminectomy.http://dx.doi.org/10.1155/2014/404386 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Foad Elahi Patrick Hitchon Chandan G. Reddy |
spellingShingle |
Foad Elahi Patrick Hitchon Chandan G. Reddy Acute Sciatic Neuritis following Lumbar Laminectomy Case Reports in Medicine |
author_facet |
Foad Elahi Patrick Hitchon Chandan G. Reddy |
author_sort |
Foad Elahi |
title |
Acute Sciatic Neuritis following Lumbar Laminectomy |
title_short |
Acute Sciatic Neuritis following Lumbar Laminectomy |
title_full |
Acute Sciatic Neuritis following Lumbar Laminectomy |
title_fullStr |
Acute Sciatic Neuritis following Lumbar Laminectomy |
title_full_unstemmed |
Acute Sciatic Neuritis following Lumbar Laminectomy |
title_sort |
acute sciatic neuritis following lumbar laminectomy |
publisher |
Hindawi Limited |
series |
Case Reports in Medicine |
issn |
1687-9627 1687-9635 |
publishDate |
2014-01-01 |
description |
It is commonly accepted that the common cause of acute/chronic pain in the distribution of the lumbosacral nerve roots is the herniation of a lumbar intervertebral disc, unless proven otherwise. The surgical treatment of lumbar disc herniation is successful in radicular pain and prevents or limits neurological damage in the majority of patients. Recurrence of sciatica after a successful disc surgery can be due to many possible etiologies. In the clinical setting we believe that the term sciatica might be associated with inflammation. We report a case of acute sciatic neuritis presented with significant persistent pain shortly after a successful disc surgery. The patient is a 59-year-old female with complaint of newly onset sciatica after complete pain resolution following a successful lumbar laminectomy for acute disc extrusion. In order to manage the patient’s newly onset pain, the patient had multiple pain management visits which provided minimum relief. Persistent sciatica and consistent physical examination findings urged us to perform a pelvic MRI to visualize suspected pathology, which revealed right side sciatic neuritis. She responded to the electrical neuromodulation. Review of the literature on sciatic neuritis shows this is the first case report of sciatic neuritis subsequent to lumbar laminectomy. |
url |
http://dx.doi.org/10.1155/2014/404386 |
work_keys_str_mv |
AT foadelahi acutesciaticneuritisfollowinglumbarlaminectomy AT patrickhitchon acutesciaticneuritisfollowinglumbarlaminectomy AT chandangreddy acutesciaticneuritisfollowinglumbarlaminectomy |
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