The causes of sciatica are variable and include musculoskeletal, dermatologic, infectious, neoplastic, and vascular disorders. In many cases, the symptom is usually caused by degenerative disease in the spine with the compression or irritation of spinal nerve. On the other hands, there are also seve...
The causes of sciatica are variable and include musculoskeletal, dermatologic, infectious, neoplastic, and vascular disorders. In many cases, the symptom is usually caused by degenerative disease in the spine with the compression or irritation of spinal nerve. On the other hands, there are also several announced extra-spinal causes including aneurysm, diabetes, and radiation for sciatica in a low rate. Among the extra-spinal cases, aneurysms arising from iliac vessels are sometimes developing a diagnostic confusion with the spinal causes, and delayed diagnosis can lead to poor prognosis. It is very important to pay attention weather the aneurysmal cause is involved in the symptom of sciatica.
The causes of sciatica are variable and include musculoskeletal, dermatologic, infectious, neoplastic, and vascular disorders. In many cases, the symptom is usually caused by degenerative disease in the spine with the compression or irritation of spinal nerve. On the other hands, there are also several announced extra-spinal causes including aneurysm, diabetes, and radiation for sciatica in a low rate. Among the extra-spinal cases, aneurysms arising from iliac vessels are sometimes developing a diagnostic confusion with the spinal causes, and delayed diagnosis can lead to poor prognosis. It is very important to pay attention weather the aneurysmal cause is involved in the symptom of sciatica.
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가설 설정
Sciatica emerged as a kind of warning sign for the aneurysmal rupture as the thrombus grew inside it, and abruptly developed into abdominal pain and distension, which were a result of the intra-abdominal hemorrhage from the aneurysmal rupture. We guess that self-discontinuation of the anti-hypertensive agents recently might have an influence with an aneurysmal rupture.
성능/효과
In conclusion, sciatica caused by extra-spinal causes is a very rare condition and it is easy to neglect the problems. When we evaluate the patient with lower extremity symptoms which does not meet the result of imaging studies or physical examination fully and past medical history such as hypertension, extra-spinal problems including vessel problem should be also considered as a cause of the symptom.
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