Sclerotherapy of sciatic nerve varices
Accepted: 21 October 2021
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Sciatic nerve varices (SNV) represent an infrequent presentation of varicose veins. They are usually not recognised and may present only with chronic sciatic pain with few varicosities. On clinical examination, sciatic pain can be reproduced by finger-pressing the superficial varicose veins at their point of connection with the SNV. These varices are then confirmed by duplex ultrasonography. We herein report a case of a 78-years-old woman affected by symptomatic SNV, treated by echo-guided Tessari foam sclerotherapy (EGFSCL) with immediate relief of the sciatic pain. Reflux through the sciatic veins, as the connected superficial varicose veins, disappeared completely and not any complications have emerged. EGFSCL seems to be both safe and effective, so representing a reliable and minimally invasive treatment for this disturb.
Verneuil A. [In: ‘Traite ́ de chirurgie’ de Duplay et Reclus, Paris, Tome II 221; 1890.] [Article in French.] Cited by J. Vander Stricht.
Thiery L. [La veine du nerf sciatique impact clinique et therapeutique.] [Article in French]. Phlebologie 1988;41:687-9.
Ricci S., Georgiev M., Jawien A., Zamboni P. Sciatic nerve varices. Eur J Vasc Endovasc Surg. 2005;29:83-7. DOI: https://doi.org/10.1016/j.ejvs.2004.09.009
Ricci S. Ultrasound observation of the sciatic nerve and its branches at the popliteal fossa: always visible, never seen. Eur J Vasc Endovasc Surg. 2005;30:659-63. DOI: https://doi.org/10.1016/j.ejvs.2005.06.004
Del Pinãl F, Taylor GI. The venous drainage of nerves; anatomical study, and clinical implications. Br J Plast Surg 1990;43:511-20. DOI: https://doi.org/10.1016/0007-1226(90)90113-E
Gianesini S., Menegatti E., Tacconi G., et al. Echo-guided foam sclerotherapy treatment of venous malformation involving the sciatic nerve. Phlebology 2009;24:46-47. DOI: https://doi.org/10.1258/phleb.2008.008058
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