Open AccessXanthogranuloma of the Sciatic Nerve: Case Report
Author(s) -
Parag G. Patil,
Thomas J. Cummings,
James A. Nunley,
Allan H. Friedman
Publication year - 2004
Publication title -
neurosurgery/neurosurgery online
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.485
H-Index - 34
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1227/01.neu.000143148.08796.2e
Subject(s) - medicine , sciatic nerve , groin , magnetic resonance imaging , lesion , presentation (obstetrics) , central nervous system , peripheral nervous system , pathological , nervous system , surgery , pathology , anatomy , radiology , psychiatry , endocrinology
OBJECTIVE AND IMPORTANCE: Xanthogranulomas involving the central or peripheral nervous system are extraordinarily rare. None have been reported in the lower extremity. Here, we report and characterize the first case of xanthogranuloma of the sciatic nerve. CLINICAL PRESENTATION: A 58-year-old woman presented with poorly localized right back and groin pain. Magnetic resonance imaging studies revealed an enhancing lesion of the sciatic nerve in the right gluteal region. INTERVENTION: The sciatic nerve xanthogranuloma was resected without complication. CONCLUSION: Our report indicates that xanthogranuloma, although extremely rare, may occur throughout the nervous system. Our evaluation demonstrates that such lesions involving the peripheral nervous system have similar pathological characteristics to xanthogranulomas that more commonly occur in the skin.