Abstract
Objective: To assess the efficacy and diagnostic value of GnRH agonist (GnRH-a) therapy in cases of hidden sciatic nerve endometriosis. Design: Case report. Setting: Academic tertiary referral center for endometriosis treatment. Patient(s): Three patients with cyclic, catamenial sciatica associated with pelvic endometriosis who had electromyographic evidence of sciatic nerve damage but negative computed tomography and magnetic resonance imaging findings. Intervention(s): Monthly administration of the GnRH-a leuprolide acetate plus daily transdermal E2 (25 μg). Main Outcome Measure(s): Relief of pain symptoms and improvement in motor function. Result(s): All three patients had clear decreases in pain and partial amelioration of claudication. Conclusion(s): Endometriosis of the sciatic nerve may be hard to diagnose with the use of current imaging techniques but may be proved by clinical response to GnRH analogue treatment and may be more frequent than previously thought.
| Original language | English |
|---|---|
| Pages (from-to) | 727-729 |
| Number of pages | 3 |
| Journal | Fertility and Sterility |
| Volume | 72 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Oct 1999 |
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Keywords
- Endometriosis
- Sciatica
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
Phantom endometriosis of the sciatic nerve. / Fedele, Luigi; Bianchi, Stefano; Raffaelli, Ricciarda; Zanconato, Giovanni; Zanette, Giampietro.
In: Fertility and Sterility, Vol. 72, No. 4, 10.1999, p. 727-729.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Phantom endometriosis of the sciatic nerve
AU - Fedele, Luigi
AU - Bianchi, Stefano
AU - Raffaelli, Ricciarda
AU - Zanconato, Giovanni
AU - Zanette, Giampietro
PY - 1999/10
Y1 - 1999/10
N2 - Objective: To assess the efficacy and diagnostic value of GnRH agonist (GnRH-a) therapy in cases of hidden sciatic nerve endometriosis. Design: Case report. Setting: Academic tertiary referral center for endometriosis treatment. Patient(s): Three patients with cyclic, catamenial sciatica associated with pelvic endometriosis who had electromyographic evidence of sciatic nerve damage but negative computed tomography and magnetic resonance imaging findings. Intervention(s): Monthly administration of the GnRH-a leuprolide acetate plus daily transdermal E2 (25 μg). Main Outcome Measure(s): Relief of pain symptoms and improvement in motor function. Result(s): All three patients had clear decreases in pain and partial amelioration of claudication. Conclusion(s): Endometriosis of the sciatic nerve may be hard to diagnose with the use of current imaging techniques but may be proved by clinical response to GnRH analogue treatment and may be more frequent than previously thought.
AB - Objective: To assess the efficacy and diagnostic value of GnRH agonist (GnRH-a) therapy in cases of hidden sciatic nerve endometriosis. Design: Case report. Setting: Academic tertiary referral center for endometriosis treatment. Patient(s): Three patients with cyclic, catamenial sciatica associated with pelvic endometriosis who had electromyographic evidence of sciatic nerve damage but negative computed tomography and magnetic resonance imaging findings. Intervention(s): Monthly administration of the GnRH-a leuprolide acetate plus daily transdermal E2 (25 μg). Main Outcome Measure(s): Relief of pain symptoms and improvement in motor function. Result(s): All three patients had clear decreases in pain and partial amelioration of claudication. Conclusion(s): Endometriosis of the sciatic nerve may be hard to diagnose with the use of current imaging techniques but may be proved by clinical response to GnRH analogue treatment and may be more frequent than previously thought.
KW - Endometriosis
KW - Sciatica
UR - http://www.scopus.com/inward/record.url?scp=0033215499&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033215499&partnerID=8YFLogxK
U2 - 10.1016/S0015-0282(99)00305-2
DO - 10.1016/S0015-0282(99)00305-2
M3 - Article
C2 - 10521118
AN - SCOPUS:0033215499
VL - 72
SP - 727
EP - 729
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 4
ER -