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Journal of Child Neurology
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Pediatric Sciatic Neuropathies Due to Unusual Vascular Causes

Jayashri Srinivasan, MBBS, PhD, MRCP (UK)

Department of Neurology, Lahey Clinic, 41 Mall Rd, Burlington, MA 01805, jayashri_srinivasan{at}lahey.org

Diane Escolar, MD

Children's National Medical Center, George Washington University, Washington, District of Columbia

Monique Ryan, MBBS, FRACP

Royal Children's Hospital, Parkville, Victoria, Australia

Basil Darras, MD

Department of Neurology, Children's Hospital Boston, Boston, and Lahey Clinic, Burlington Massachusetts

H. Royden Jones, MD

Department of Neurology, Children's Hospital Boston, Boston, and Lahey Clinic, Burlington Massachusetts

Four cases of pediatric sciatic neuropathies due to unusual vascular mechanisms are reported. Pediatric sciatic neuropathies were seen after umbilical artery catheterization, embolization of arteriovenous malformation, meningococcemia, and hypereosinophilic vasculitis. Electrophysiologic studies demonstrated abnormalities in motor studies of peroneal and tibial nerves. Sensory studies demonstrated abnormalities of sural and superficial peroneal nerves. Results of needle electromyography were abnormal in sciatic-innervated muscles. Prognosis was variable and depended on the severity of the initial nerve injury.

Key Words: sciatic neuropathy • vascular • electromyography • inferior gluteal artery • umbilical artery

Journal of Child Neurology, Vol. 23, No. 7, 738-741 (2008)
DOI: 10.1177/0883073808314163
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