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Endometriosis

Case study: Endometriosis of the sciatic nerve

Marc Possover,
Mai 27, 2020

From crutches to recovery within three days

The case we present is not unique but particular because of the rapid evolution of this patient. She is a 39-year-old woman, who has been coming to our neuropelveology consultation due to terrible right sciatic pain for years, as well as since 6 months, the total loss of motor control of the right leg. So she could only walk with crutches and drag her right leg behind her. Due to this significant motor loss, we thought it could be a deep endometriosis of the sciatic nerve with advanced axonal destruction.

During the operation apart from significant adhesions secondary to the previous multiple procedures (including a hysterectomy with bilateral adnexectomy), we found an extended retropritonal perineurial fibrosis, not just the sciatic nerve. The laparoscopic procedure allowed a complete release of the nerves without complications. The postoperative evolution of the patient was amazing, since in 3 days she regained control of the leg, even if she will still need a lot of training and physiotherapy in order to regain normal walking.

We wish her and her whole family much happiness in the future, and we thank her for the trust she has placed in us.

Video: From crutches to recovery - Endometriosis of the sciatic nerve

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Marc Possover