Sciatic Nerve Compression in a Patient with Pesistent Sciatic Artery: A Case Report.
- Author:
Chul Young CHANG
1
;
Lee Chan JANG
Author Information
1. Department of Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea. lcjang@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Persistent sciatic artery;
Anomaly;
Sciatic nerve;
Compression
- MeSH:
Aneurysm;
Arteries*;
Back Pain;
Buttocks;
Female;
Humans;
Ischemia;
Knee;
Leg;
Lower Extremity;
Saphenous Vein;
Sciatic Nerve*;
Spinal Cord Compression;
Spinal Stenosis
- From:Journal of the Korean Society for Vascular Surgery
2005;21(1):69-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The sciatic artery is a major artery of the lower limb during the early embryonic period, which involutes at the third month of embryonic life. The persistent sciatic artery (PSA) is a rare congenital anomaly, which may predispose a subject to atherosclerotic or aneurysmal degeneration. They usually present with leg ischemia or a throbbing buttock mass, but infrequently with a sciatic nerve compression symptom. We report a 56 year- old woman with PSA, who presented with back pain and a sciatic nerve compression symptom, which was erroneously diagnosed as spinal cord compression due to spinal stenosis. She was successfully treated with an above knee femoropopliteal bypass, with a reversed saphenous vein and surgical exclusion of the sciatic artery.