Pediatric Sciatic Neuropathies Due to Unusual Vascular Causes

Author:

Srinivasan Jayashri1,Escolar Diane2,Ryan Monique3,Darras Basil4,Jones H. Royden4

Affiliation:

1. Department of Neurology, Lahey Clinic, 41 Mall Rd, Burlington, MA 01805,

2. Children's National Medical Center, George Washington University, Washington, District of Columbia

3. Royal Children's Hospital, Parkville, Victoria, Australia

4. Department of Neurology, Children's Hospital Boston, Boston, and Lahey Clinic, Burlington Massachusetts

Abstract

Four cases of pediatric sciatic neuropathies due to unusual vascular mechanisms are reported. Pediatric sciatic neuropathies were seen after umbilical artery catheterization, embolization of arteriovenous malformation, meningococcemia, and hypereosinophilic vasculitis. Electrophysiologic studies demonstrated abnormalities in motor studies of peroneal and tibial nerves. Sensory studies demonstrated abnormalities of sural and superficial peroneal nerves. Results of needle electromyography were abnormal in sciatic-innervated muscles. Prognosis was variable and depended on the severity of the initial nerve injury.

Publisher

SAGE Publications

Subject

Neurology (clinical),Pediatrics, Perinatology and Child Health

Reference10 articles.

1. Chapter 57 Mononeuropathies of infancy and childhood

2. Sciatic Neuropathies in Childhood: A Report of Ten Cases and Review of the Literature

3. Jones HR Jr, Bolton CF, Harper CM An approach to pediatric electromyography. In: Jones HR, Jr, Bolton CF, Harper CM, eds. Pediatric Clinical Electromyography . Philadelphia, PA: Lipincott-Raven ; 1996:1-36.

4. Sciatic Neuropathy Associated With Persistent Sciatic Artery

5. Sciatic nerve palsy complicating umbilical arterial catheterization

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