To the Editor.—
This case is reported to remind the neurologist of the association between severe sciatic pain and nerve compression from a pelvic aneurysm.
Report of a Case.—
For three years, a 67-year-old, hypertensive man had complained of throbbing pain in the lower lumbar midback region with radiation into the right hip, groin, and anterior aspect of the right thigh, knee, lateral aspect of the calf, and the lateral malleolus. The pain would wax and wane throughout the day and had been increasing in intensity. During the past year, there was some weakness of the right leg, but no numbness or bladder, or bowel impairment. Sitting exacerbated the pain, while walking or flexion of the right hip made the pain less severe.Later, the patient experienced cramping pain in both thighs and occasional abdominal pain. Shortly thereafter, a roentgenogram of the abdomen showed curvilinear calcification pathognomonic for an abdominal
Levy LA. Arteriosclerotic Common Iliac Aneurysm Causing Sciatic Pain. Arch Neurol. 1977;34(9):581. doi:10.1001/archneur.1977.00500210083018