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NEUROLOGY 2003;61:985-987
© 2003 American Academy of Neurology
Brief Communications

Painful vascular compression syndrome of the sciatic nerve caused by gluteal varicosities

M. Bendszus, MD, P. Rieckmann, MD, J. Perez, MD, M. Koltzenburg, MD, K. Reiners, MD and L. Solymosi, MD

From the Departments of Neuroradiology (Drs. Bendszus and Solymosi), Neurology (Drs. Rieckmann, Koltzenburg, and Reiners), and Neurosurgery (Dr. Perez), University of Würzburg, Germany.

Address correspondence and reprint requests to Dr. Martin Bendszus, Department of Neuroradiology, University of Würzburg, Josef-Schneider-Str.11, D-97080 Würzburg, Germany; e-mail: bendszus{at}neuroradiologie.uni-wuerzburg.de

The authors report three patients with chronic sciatic pain without focal neurologic deficit. Sitting or lying on the affected side provoked pain, and standing and walking relieved it. MRI revealed varicotic gluteal vessels compressing the sciatic nerve. Decompression of the nerve resulted in complete and permanent pain relief. Sciatic or buttock pain in patients with varicosities and pain provocation in the sitting or lying position suggests this neurovascular compression syndrome.

Received November 12, 2002. Accepted in final form May 29, 2003.

M.K.’s current affiliation is Institute of Child Health & Institute of Neurology, University College London, UK.




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