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Year : 2013  |  Volume : 8  |  Issue : 2  |  Page : 161-164

Pediatric sciatic neuropathy presenting as painful leg: A case report and review of literature

1 Department of Pediatric Neurology, Sheffield Children's Hospital, Sheffield, United Kingdom
2 Department of Neurophysiology, Hallamshire Royal Hospital, Sheffield, United Kingdom

Correspondence Address:
Manish Prasad
Pediatric Neurology Registrar, Department of Paediatric Neurology, Sheffield Children's Hospital, Sheffield, S10 2UH
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1745.117858

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Introduction: Mononeuropathies, in general, are very uncommon in childhood. Sciatic neuropathy (SN) is probably underappreciated in childhood and likely to represent nearly one quarter of childhood mononeuropathies. Materials and Methods: We present a 7-year-old girl who presented with painful right lower limb and abnormal gait. Detailed investigation revealed transient eosinophilia, abnormal neurophysiology, and magnetic resonance imaging (MRI) suggestive of isolated sciatic neuropathy. Results: She has responded very well to physiotherapy and has made a complete motor recovery, although she is left with an area of abnormal sensation affecting the lateral border of her right leg and the dorsum of her foot. Discussion: Differential diagnoses for pediatric SN have been discussed including compressive neuropathies in children and various hyper-eosinophilia syndromes. Compressive neuropathies in childhood are very rare and compression of the sciatic nerve is the second most common group after peroneal nerve lesion.


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