Five Cases of Idiopathic Sciatic Mononeuropathy: Clinical, Electrophysiological, Radiological, and Histological Features

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

Annals of Indian Academy of Neurology Pub Date : 2023-12-15 DOI:10.4103/aian.aian_566_23

Satish Khadilkar, Saurabh Kamat, Narayan Deshmukh, Neha Shah, Vanaja Shetty, Swati Shah, Hiral A. Halani, K. Mansukhani

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Abstract

Common etiologies of sciatic mononeuropathy are compressive, infiltrative, traumatic, or diabetic. However, in a proportion of patients, the etiology remains elusive despite extensive serological, electrophysiological, radiological, and histological investigations. Patients with unexplained sciatic mononeuropathy were studied with regard to their clinical, radiological, pathological, and treatment aspects. We could identify five cases of sciatic mononeuropathy wherein the etiology remained unknown even after a comprehensive evaluation. The compressive, metabolic, hematological, and immune causes were ruled out with necessary investigations. The clinical, electrophysiological, radiological, and histological features of these patients are discussed. The etiology of sciatic mononeuropathy can remain obscure in certain instances in spite of the comprehensive workup. The role of investigations and the exclusion process of various diagnostic entities are discussed.

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五例特发性坐骨神经单神经病：临床、电生理学、放射学和组织学特征

坐骨神经单神经病的常见病因是压迫性、浸润性、创伤性或糖尿病。然而，尽管进行了广泛的血清学、电生理学、放射学和组织学检查，仍有一部分患者的病因难以确定。我们对原因不明的坐骨神经单神经病患者进行了临床、放射学、病理学和治疗方面的研究。我们发现有五例坐骨神经单神经病，即使经过全面评估，病因仍然不明。通过必要的检查排除了压迫性、代谢性、血液学和免疫性病因。本文讨论了这些患者的临床、电生理学、放射学和组织学特征。尽管进行了全面的检查，但坐骨神经单神经病的病因在某些情况下仍然不明确。讨论了检查的作用和各种诊断实体的排除过程。

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来源期刊

Annals of Indian Academy of Neurology Nervous System Diseases-

CiteScore

2.20

自引率

11.80%

发文量

293

审稿时长

29 weeks

期刊介绍： The journal has a clinical foundation and has been utilized most by clinical neurologists for improving the practice of neurology. While the focus is on neurology in India, the journal publishes manuscripts of high value from all parts of the world. Journal publishes reviews of various types, original articles, short communications, interesting images and case reports. The journal respects the scientific submission of its authors and believes in following an expeditious double-blind peer review process and endeavors to complete the review process within scheduled time frame. A significant effort from the author and the journal perhaps enables to strike an equilibrium to meet the professional expectations of the peers in the world of scientific publication. AIAN believes in safeguarding the privacy rights of human subjects. In order to comply with it, the journal instructs all authors when uploading the manuscript to also add the ethical clearance (human/animals)/ informed consent of subject in the manuscript. This applies to the study/case report that involves animal/human subjects/human specimens e.g. extracted tooth part/soft tissue for biopsy/in vitro analysis.