Sciatic pain: a diagnostic pitfall.
Neurological signs such as lower spinal cord lesions and/or femoral neuritis may be the presenting symptoms of a dissecting abdominal aortic aneurysm (AAA). We describe a patient in whom a severe sciatic pain was the presenting symptom of a non-dissecting AAA. The resection of the vascular mass resulted in dramatic relief of sciatic pain, thus indicating that the neurological impairment was caused by the non-dissecting aneurysm.
D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology*; D012585:Sciatica / Q000209:etiology*; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis