title: Sciatic neuropathy developed after injection during curettage.
abstract: Intramuscular injections are likely the most common cause of sciatic nerve injury in developing countries. Less common causes include piriformis syndrome, primary tumors of the sciatic nerve, metastatic tumors invading or compressing the nerve, endometriosis, vascular malformations, and prolonged immobilization or positioning. While the most reliable diagnostic and prognostic methods include nerve conduction studies and electromyography, magnetic resonance imaging has been suggested as an alternative method of determining type of lesion, establishing location, and investigating level of nerve involvement. A case of sciatic neuropathy that developed after intramuscular injection, with patient in prolonged lithotomy position and under sedation, is described.
authors.affiliation: Department of Neurology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
authors.forename: Ayşe
authors.initials: A
authors.lastname: Altıntaş
authors.affiliation: Department of Neurology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey. draysegulgunduz@yahoo.com.
authors.forename: Ayşegül
authors.initials: A
authors.lastname: Gündüz
authors.affiliation: Department of Radiology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Kantarcı
authors.affiliation: Department of Neurology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
authors.forename: Gökçen
authors.initials: G
authors.lastname: Gözübatık Çelik
authors.affiliation: Department of Radiology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
authors.forename: Naci
authors.initials: N
authors.lastname: Koçer
authors.affiliation: Department of Neurology, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
authors.forename: Meral E
authors.initials: ME
authors.lastname: Kızıltan
mesh_terms: D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects*; D003937:Diagnosis, Differential; D004008:Diclofenac / Q000008:administration & dosage / Q000009:adverse effects*; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D006828:Hydatidiform Mole / Q000601:surgery; D007273:Injections, Intramuscular / Q000009:adverse effects; D011183:Postoperative Complications / Q000175:diagnosis*; D011247:Pregnancy; D012584:Sciatic Nerve / Q000293:injuries*; D020426:Sciatic Neuropathy / Q000175:diagnosis* / Q000209:etiology
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac