Acute Sciatic Neuritis following Lumbar Laminectomy

Foad Elahi; Patrick Hitchon; Chandan G Reddy

doi:10.1155/2014/404386

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Acute Sciatic Neuritis following Lumbar Laminectomy

Journal article

Open access

Peer reviewed

Acute Sciatic Neuritis following Lumbar Laminectomy

Foad Elahi, Patrick Hitchon and Chandan G Reddy

Case reports in medicine, Vol.2014, pp.1-3

2014

DOI: 10.1155/2014/404386

PMCID: PMC4082899

PMID: 25024708

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Abstract

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.

Details

Title: Subtitle: Acute Sciatic Neuritis following Lumbar Laminectomy
Creators: Foad Elahi - Center of Pain Medicine, University of Iowa, 200 Hawkins Drive, 5JPP, Iowa City, IA 52242, USA
Patrick Hitchon - Department of Neurosurgery, University of Iowa, Iowa City, IA, USA
Chandan G Reddy - Department of Neurosurgery, University of Iowa, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Case reports in medicine, Vol.2014, pp.1-3
DOI: 10.1155/2014/404386
PMID: 25024708
PMCID: PMC4082899
NLM abbreviation: Case Rep Med
ISSN: 1687-9627
eISSN: 1687-9635
Language: English
Date published: 2014
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Neurosurgery
Record Identifier: 9984040383602771

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