Ischemic Sciatic Neuropathy in a Patient with Liposarcoma
Background Various etiologies are the causative agents for sciatic neuropathy. We present here a case of ischemic sciatic neuropathy in a patient with liposarcoma. Case report A 55-year-old woman presented with severe pain and weakness of the left leg. She had a history of recurred retroperitoneal l...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Neurocritical Care Society
2017-06-01
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| Series: | Journal of Neurocritical Care |
| Subjects: | |
| Online Access: | http://www.e-jnc.org/upload/pdf/jnc-160100.pdf |
| _version_ | 1819090605774471168 |
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| author | Jieun Lee Jun Hong Lee Gyu Sik Kim Min Cheol Park Naeun Woo Jeong Hee Cho |
| author_facet | Jieun Lee Jun Hong Lee Gyu Sik Kim Min Cheol Park Naeun Woo Jeong Hee Cho |
| author_sort | Jieun Lee |
| collection | DOAJ |
| description | Background Various etiologies are the causative agents for sciatic neuropathy. We present here a case of ischemic sciatic neuropathy in a patient with liposarcoma. Case report A 55-year-old woman presented with severe pain and weakness of the left leg. She had a history of recurred retroperitoneal liposarcoma, and was being administered chemotherapy. Examination revealed weakness in ankle dorsiflexion, plantar flexion and hamstring. Complaints also included dysesthesia, and numbness in the sole and dorsum of the foot. Nerve conduction study showed low compound muscle action potentials and slow motor conduction velocity of left peroneal and tibial nerves, with indiscernible sensory nerve action potentials of the left superficial peroneal and sural nerves. Computed tomography angiography revealed occlusion of the left common iliac artery. Commencement of intravenous infusion of heparin resulted in skin color change and progression of the weakness. Hence, the patient underwent an emergency thrombectomy. Conclusions Ischemia should be considered as a cause of sciatic neuropathy in cancer patients, which requires management with timely treatment. |
| first_indexed | 2024-12-21T22:26:29Z |
| format | Article |
| id | doaj.art-e8ceacb368ff4146830d55be80e08614 |
| institution | Directory Open Access Journal |
| issn | 2005-0348 2508-1349 |
| language | English |
| last_indexed | 2024-12-21T22:26:29Z |
| publishDate | 2017-06-01 |
| publisher | The Korean Neurocritical Care Society |
| record_format | Article |
| series | Journal of Neurocritical Care |
| spelling | doaj.art-e8ceacb368ff4146830d55be80e086142022-12-21T18:48:12ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482508-13492017-06-01101283110.18700/jnc.160100253Ischemic Sciatic Neuropathy in a Patient with LiposarcomaJieun Lee0Jun Hong Lee1Gyu Sik Kim2Min Cheol Park3Naeun Woo4Jeong Hee Cho5Department of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, KoreaDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, KoreaDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, KoreaDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, KoreaDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, KoreaDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, KoreaBackground Various etiologies are the causative agents for sciatic neuropathy. We present here a case of ischemic sciatic neuropathy in a patient with liposarcoma. Case report A 55-year-old woman presented with severe pain and weakness of the left leg. She had a history of recurred retroperitoneal liposarcoma, and was being administered chemotherapy. Examination revealed weakness in ankle dorsiflexion, plantar flexion and hamstring. Complaints also included dysesthesia, and numbness in the sole and dorsum of the foot. Nerve conduction study showed low compound muscle action potentials and slow motor conduction velocity of left peroneal and tibial nerves, with indiscernible sensory nerve action potentials of the left superficial peroneal and sural nerves. Computed tomography angiography revealed occlusion of the left common iliac artery. Commencement of intravenous infusion of heparin resulted in skin color change and progression of the weakness. Hence, the patient underwent an emergency thrombectomy. Conclusions Ischemia should be considered as a cause of sciatic neuropathy in cancer patients, which requires management with timely treatment.http://www.e-jnc.org/upload/pdf/jnc-160100.pdfSciatic neuropathyLiposarcomaIschemia |
| spellingShingle | Jieun Lee Jun Hong Lee Gyu Sik Kim Min Cheol Park Naeun Woo Jeong Hee Cho Ischemic Sciatic Neuropathy in a Patient with Liposarcoma Journal of Neurocritical Care Sciatic neuropathy Liposarcoma Ischemia |
| title | Ischemic Sciatic Neuropathy in a Patient with Liposarcoma |
| title_full | Ischemic Sciatic Neuropathy in a Patient with Liposarcoma |
| title_fullStr | Ischemic Sciatic Neuropathy in a Patient with Liposarcoma |
| title_full_unstemmed | Ischemic Sciatic Neuropathy in a Patient with Liposarcoma |
| title_short | Ischemic Sciatic Neuropathy in a Patient with Liposarcoma |
| title_sort | ischemic sciatic neuropathy in a patient with liposarcoma |
| topic | Sciatic neuropathy Liposarcoma Ischemia |
| url | http://www.e-jnc.org/upload/pdf/jnc-160100.pdf |
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