Ischiadic nerve lesion due to metastatis of a non-differentiated urethra carcinoma: case report and review of th literature
Abstract
In clinical practise, we encounter mechanical lesions of the ischiadic nerve most frequently with a trauma of the pelvis circle or because of surgical injury in the allloplastic treatment of the hip joint. Other causes form nerve lisions are sporadic or even rate.
To such ones also belongs compression of the nerve by metastasis of a urethra carcinoma to the gluteus maximus muscle. A typical manifestation of this nerve injury is a tibioperoneal paresis with a preponderance in its peroneal component.
The diagnostic proces can be addditionallly complicated by a contemporal vertebrogenic syndrome with radiculopathy, the more so, when an intervertebral disc protrusion on imaging would be discovered. We present a case of a woman with a two-year history of an undifferentiated urethra carcinoma which has metastasized into the gluteus muscleand has produced a compression of the ischiadic nerve.