Endoscopic-Assisted Sciatic Nerve Exploration

Abstract

A sciatic nerve lesion is uncommon. We report the utility of the endoscope in an 18-year-old female with multiple lesions of her sciatic nerve. Somatosensory evoked potentials and MRI were indicative of a sciatic nerve lesion. We describe a simple technique of endoscopic exploration of the sciatic nerve to assist intraoperative decision making.

Key words

Sciatic nerve - endoscopy

References

• 1 Yuen E C, So Y T. Sciatic neuropathy.  Neurol Clin. 1999;  17 617-631
• 2 Beatty R A. The piriformis muscle syndrome: A simple diagnostic manoeuvre.  Neurosurgery. 1994;  34 512
• 3 Kline D G, Kim D, Midha R, Harsh C, Tiel R. Management and results of sciatic nerve injuries: a 24-year experience.  J Neurosurg. 1998;  89 13-23
• 4 Kline D G, Hudson A R, Kim D H. Atlas of peripheral nerve surgery. Philadelphia: WB Saunders, 1st edn. 2001: 121-127
• 5 Grant G A, Goodkin R, Kliot M. Evaluation and surgical management of peripheral nerve problems.  Neurosurgery. 1999;  44 825-839
• 6 Fries G, Perneczky A. Endoscope-assisted brain surgery: part 2 - analysis of 380 procedures.  Neurosurgery. 1998;  42 226-231