Congenital pelvic arteriovenous malformation: a rare cause of sciatica

A patient with a large congenital pelvic arteriovenous malformation presenting with irradiating pain to the leg, most likely due to sciatic nerve compression, is described. Congenital pelvic arteriovenous malformation are rare lesions, especially in males. Diagnosis was established by arteriography...

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Bibliographic Details
Published in:	Clinical neurology and neurosurgery Vol. 97; no. 3; pp. 229 - 232
Main Authors:	Vos, L.D., Bom, E.P., Vroegindeweij, D., Tielbeek, A.V.
Format:	Journal Article
Language:	English
Published:	Amsterdam Elsevier B.V 01-08-1995 Elsevier Science
Subjects:	Aortography Arteriography Arteriovenous malformation (AVM) Arteriovenous Malformations - complications Arteriovenous Malformations - diagnostic imaging Arteriovenous Malformations - surgery Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Computed tomography Diagnosis, Differential Humans Iliac Artery - abnormalities Iliac Artery - diagnostic imaging Iliac Artery - surgery Male Medical sciences Middle Aged Miscellaneous Nerve Compression Syndromes - complications Nerve Compression Syndromes - diagnostic imaging Nerve Compression Syndromes - surgery Pelvis Postoperative Complications - diagnostic imaging Sciatica Sciatica - diagnostic imaging Sciatica - etiology Sciatica - surgery Tomography, X-Ray Computed Arteriovenous malformation (AVM) Arteriography Computed tomography Pelvis Sciatica Human Nervous system diseases Clinical form Cardiovascular disease Pelvis bone Congenital disease Vascular disease Case study Symptomatology Pain Peripheral nerve disease Arteriovenous malformation
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Summary:	A patient with a large congenital pelvic arteriovenous malformation presenting with irradiating pain to the leg, most likely due to sciatic nerve compression, is described. Congenital pelvic arteriovenous malformation are rare lesions, especially in males. Diagnosis was established by arteriography and contrast-enhanced computed tomography scan. Surgical resection of the AVM relieved our patient of all symptoms. However, endovascular therapy, either as primary treatment or followed by conventional surgery is the treatment of choice. Pelvic arteriovenous malformations should be considered in the differential diagnosis of unexplained sciatica.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0303-8467 1872-6968
DOI:	10.1016/0303-8467(95)00032-F