Lumbosacral plexopathy secondary to internal iliac artery aneurysm: case report and review of literature
DOI:
https://doi.org/10.17161/rrnmf.v3i2.15909Keywords:
iliac artery aneurysm, lumbosacral plexopathy, lower limb weakness, lower limb numbness, post operative complicationsAbstract
Iliac artery aneurysms are usually asymptomatic and can manifest symptoms only when there is compression, erosion, or trauma present. We report an internal iliac artery aneurysm causing lumbosacral plexopathy developed post hernia repair surgery presenting with right lower limb weakness and numbness. Through imaging and physical exam, traction injury and ischemic processes were ruled out as potential causes of the right lower limb weakness and neuropathy. In patients with unexplained lower extremity weakness and numbness, an iliac artery aneurysm compressing the lumbosacral plexus should be considered and further imaging of the pelvis to look for compressive etiologies of the plexus can be done.
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Kirkwood, Melissa. “Iliac Artery Aneurysm.” Uptodate, 2021, www.uptodate.com/contents/iliac-arteryaneurysm?search=iliac+artery+aneurysm&source=search_result&selectedTitle=1~39&usage_type=default&display_rank=1#H544011285.
Dix, F.P., et al. “The Isolated internal Iliac Artery Aneurysm—A Review.” European Journal of Vascular and Endovascular Surgery, vol. 30, no. 2, 2005, pp. 119–129., doi:10.1016/j.ejvs.2005.04.035
Mohan, S. R., and R. P. Grimley. “Common Iliac Artery Aneurysm Presenting as Acute Sciatic Nerve Compression.” Postgraduate Medical Journal, vol. 63, no. 744, 1987, pp. 903–904., doi:10.1136/pgmj.63.744.903.
Feinberg, Joseph, and Shikha Sethi. “Sciatic Neuropathy: Case Report and Discussion of the Literature on Postoperative Sciatic Neuropathy and Sciatic Nerve Tumors.” HSS Journal®: The Musculoskeletal Journal of Hospital for Special Surgery, vol. 2, no. 2, 2006, pp. 181–187., doi:10.1007/s11420-006-9018-z.
Iodice, Francesco, et al. “A Case of Sciatica Revealing a Giant Syphilitic Aneurysm.” Clinical Neurology and Neurosurgery, vol. 174, 2018, pp. 97–100., doi:10.1016/j.clineuro.2018.08.005.
Butt, A. J., et al. “Sciatic Nerve Palsy Secondary to Postoperative Haematoma in Primary Total Hip Replacement.” The Journal of Bone and Joint Surgery. British Volume, 87-B, no. 11, 2005, pp. 1465–1467., doi:10.1302/0301-620x.87b11.16736.
Distad, B. Jane, and Michael D. Weiss. “Clinical and Electrodiagnostic Features of Sciatic Neuropathies.” Physical Medicine and Rehabilitation Clinics of North America, vol. 24, no. 1, 2013, pp. 107–120., doi:10.1016/j.pmr.2012.08.023.
Santilli, Steven M., et al. “Expansion Rates and Outcomes for Iliac Artery Aneurysms.” Journal of Vascular Surgery, vol. 31, no. 1, 2000, pp. 114–121., doi:10.1016/s0741-5214(00)70073-5.
Markowitz, Alfred M., and John C. Norman. “Aneurysms of the Iliac Artery.” Annals of Surgery, vol. 154, no. 5, 1961, pp. 777–787., doi:10.1097/00000658-196111000-00001.
Luzzio, Christopher C., et al. “Iliac Artery Pseudoaneurysm Following Renal Transplantation Presenting as Lumbosacral Plexopathy.” Transplantation, vol. 67, no. 7, 1999, pp. 1077–1078., doi:10.1097/00007890-199904150-00026.
Dyck, P. James, and Pariwat Thaisetthawatkul. “Lumbosacral Plexopathy.” CONTINUUM: Lifelong Learning in Neurology, vol. 20, 2014, pp. 1343–1358., doi:10.1212/01.con.0000455877.60932.d3.
Van Gompel, Jamie J, et al. “Vascular Malformations, Rare Causes of Sciatic Neuropathy: A Case Series.” Neurosurgery, vol. 67, no. 4, 2010, pp. 1133–1142., doi:10.1227/neu.0b013e3181ecc84e.
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