Radicular Compression by extradural spinal endometriosis. Case report

F Carta, Gian Marco Guiducci, G Guiducci, Ezio Fulcheri, E Fulcheri, C Bernucci, Claudio Bernucci, C Rivano
Acta neurochirurgica · 1992 · vol. 114(1-2) , pp. 68–71 · doi:10.1007/bf01401117 · PMID:1561942 · W2054182555
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This case report describes a 35-year-old woman with spinal epidural endometriosis compressing a lumbar root, detailing her clinical presentation, imaging, and surgical treatment.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper reports the case of a 35-year-old woman with endometriosis located in the extradural spinal canal at the level of the left third lumbar root, extending through the corresponding foramen into the paraspinal muscles, producing radicular compression. The authors describe the clinical presentation, radiological findings, and surgical treatment, and discuss possible pathogenesis based on prior literature. A key limitation emphasized is that only histopathological examination established the correct diagnosis and allowed definitive hormonal treatment. This paper is centrally about endometriosis — it documents extradural spinal/end-root compression by spinal endometriosis and highlights diagnostic confirmation via histopathology.

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Summary The case of a 35 years old woman affected by endometriosis located inside the spinal canal in the extradural space at the level of the third left lumbar root, and developing through the corresponding foramen into the paraspinal muscles, is presented. The clinical aspect, radiological picture and surgical treatment are described. Pathogenesis is discussed on the basis of the literature. Furthermore it is stressed that only the histopathological examination gave the correct diagnosis and permitted the definitive hormonal treatment. To our best knowledge no comparable case has been published in the literature. Similar content being viewed by others References Baker GS, Parsons WR, Welch JS (1966) Endometriosis within the stealth of the sciatic nerve. J Neurosurg 25: 652–655 Blaustein A (1982) Pelvic endometriosis. In: Blaustein A (ed) Pathology of the female genital tract. Springer, New York, pp 464–478 Bergvist A, Bergvist D, Lindholm K, Linell F (1987) Endometriosis in the uterosacral ligament giving orthopedic symptoms through compression of the sciatic nerve and surgically treated via an extraperitoneal approach keeping the pelvic organs intact. Acta Obstet Gynecol Scand 66 (1): 93–94 Fischer S, (1953) Seltene Lokalisation einer Endometriosis externa extraperitonealis. Geburtshilfe Frauenheilkd 13: 240–243 Guiot G, Levy J, Auquier L (1965) Sciatica caused by endometriosis (catamenial sciatica). Press Med 73: 1397–1398 Head HB, Welch JS, Mussey E, Espinosa RE (1962) Cyclic sciatica: report of case with introduction of a new surgical sign. JAMA 180: 521–524 Hibbard J Schreiber JR (1984) Footdrop due to sciatic nerve endometriosis. Am J Obstet Gynecol 149 (7): 800–801 Lombardo L, Mateos JH, Barroeta FF (1968) Subarachnoid haemorrhage due to endometriosis of the spinal canal. Neurology 18: 423–426 Moeser P, Donofrio PD, Karstaedt N, Bechthold R, Greiss FC Jr (1990) MRI findings of sciatic endometriosis. Clin Imaging 14 (1): 64–66 Pescetto G, De Cecco L, Pecorari D, Ragni N (1989) Endometriosi. In: Pescetto Get al (eds) Manuale di ginecologia e ostetricia, Vol 1. SEU, Roma, pp 405–427 Redwine DB, Sharpe DR (1990) Endometriosis of the obturator nerve. A case report. J Reprod Med 35 (4): 434–435 Salazar-Grueso E Roos R (1986) Sciatic endometriosis a treatable sensorimotor monoeuropathy. Neurology 36: 1360–1363 Thibodeau LL, Prioleau GR, Manuelidis EE, Merino MJ, Heafner MD (1987) Cerebral endometriosis: a case report. J Neurosurg 66: 609–610 Torkelson SJ, Lee RA, Hildahl DB (1988) Endometriosis of the sciatic nerve: a report of two cases and a review of the literature. Obstet Gynecol 71 (3 Pt 2): 473–477 Author information Authors and Affiliations Rights and permissions About this article Cite this article Carta, F., Guiducci, G., Fulcheri, E. et al. Radicular Compression by extradural spinal endometriosis. Case report. Acta neurochir 114, 68–71 (1992). https://doi.org/10.1007/BF01401117 Issue date: DOI: https://doi.org/10.1007/BF01401117

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Nerve Compression Syndromes Spinal Neoplasms Spinal Nerve Roots Adult Diagnosis, Differential Endometriosis Endometriosis Female Humans Laminectomy Magnetic Resonance Imaging Nerve Compression Syndromes Nerve Compression Syndromes Spinal Neoplasms Spinal Neoplasms Spinal Nerve Roots Spinal Nerve Roots Tomography, X-Ray Computed

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (13)

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