J Brachial Plex Peripher Nerve Inj 2006; 01(01): e48-e52
DOI: 10.1186/1749-7221-1-8
Case report
Ney et al; licensee BioMed Central Ltd.

Sciatic neuropathy following endovascular treatment of a limb vascular malformation[*]

John P Ney
1   Madigan Army Medical Center, Neurology Service, 9040A Fitzsimmons Dr. Tacoma, WA 98431, USA
,
William Shih
2   Naval Medical Center, Neurology Service, 34800 Bob Wilson Drive San Diego, CA 92134, USA
,
Mark E Landau
3   Walter Reed Army Medical Center Department of Neurology, 6900 Georgia Ave., NW, Bldg #2, Washington, DC 20307, USA
› Institutsangaben

Verantwortlicher Herausgeber dieser Rubrik:
Weitere Informationen

Publikationsverlauf

04. Juli 2006

15. Dezember 2006

Publikationsdatum:
20. August 2014 (online)

Abstract

Background Endovascular therapy for vascular malformations is one of the treatment options for limb vascular malformations.

Case presentation A patient with a vascular malformation of the hip developed ipsilateral leg weakness immediately after endovascular embolization and sclerotherapy. Clinical and electrodiagnostic findings later confirmed an incomplete sciatic neuropathy.

Conclusion We propose that endovascular treatment compromised the patient’s sciatic nerve either through direct neurotoxicity of the sclerosing agent or ischemic injury.

*This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


 
  • References

  • 1 Lee BB, Bergan JJ. Advanced management of congenital vascular malformations: a multidisciplinary approach. Cardiovasc Surg 2002; 10: 523-33 10.1016/S0967-2109(02)00072-8 12453680
  • 2 Yakes WF, Haas DK, Parker SH, Gibson MD, Hopper KD, Mulligan JS, Pevsner PH, Johns Jr JC, Carter TE. Symptomatic vascular malformations: ethanol embolotherapy. Radiology 1989; 170: 1059-66 2916057
  • 3 Yakes WF, Pevsner P, Reed M, Donohue HJ, Ghaed N. Serial embolizations of an extremity arteriovenous malformation with alcohol via direct percutaneous puncture. AJR Am J Roentgenol 1986; 146: 1038-40 3485898
  • 4 Weber J. Embolizing materials and catheter techniques for angiotherapeutic management of AVM. Belov ST, Loose DA, Weber J. Vascular Malformations. Einhorn-Presse Verlag GmbH; Reinbek: 1989: 252-60
  • 5 Lee BB, Do YS, Byun HS, Choo IW, Kim DI, Huh SH. Advanced management of venous malformation with ethanol sclerotherapy: mid-term results. J Vasc Surg 2003; 37: 533-8 10.1067/mva.2003.91 12618688
  • 6 Liang CD, Ko SF, Huang SC, Huang CF, Niu CK. Vocal cord paralysis after transcatheter coil embolization of patent ductus arteriosus. Am Heart J 2003; 146: 367-71 10.1016/S0002-8703(03)00125-X 12891209
  • 7 Quinn SF, Frau DM, Saff GN, Kavanagh J, Roberts W, Cavanagh D, Clark RA. Neurologic complications of pelvic intraarterial chemoembolization performed with collagen material and cisplatin. Radiology 1988; 167: 55-7 3347746
  • 8 Kwok PC, Chung TK, Chong LC, Chan SC, Wong WK, Chan MK, Chu WS. Neurologic injury after endovascular stent-graft and bilateral internal iliac artery embolization for infrarenal abdominal aortic aneurysm. J Vasc Interv Radiol 2001; 12: 761-3 11389230
  • 9 Breugem CC, Maas M, van der Horst CM. Magnetic resonance imaging findings of vascular malformations of the lower extremity. Plast Reconstr Surg 2001; 108: 878-84 10.1097/00006534-200109150-00010 11547142