Neuroradiological value of high resolution magnetic resonance neurography (MRN) in the diagnosis of sciatic neuropathy presumably related to COVID-19
Keywords:
COVID-19, Sciatic neuropathy, Magnetic resonance neurographyAbstract
Background: In the context of sciatic neuropathy, there have been many etiologies and the need for differentiating between the possible underlying causes is an important matter for early diagnosis and management. COVID-19 has been associated with many peripheral neuropathies and sciatic neuropathy could be potentially a complication. Although, very rare with limited cases published in the literature to date. Methods: We investigated the role of MR neurography in evaluating sciatic neuropathy presumably post- COVID-19 infection in one of our cases after exclusion of other possible causes of sciatic neuropathy using STIR MR neurography. Results: Our STIR MR neurography demonstrated increased signal and size of the left sciatic nerve with 2ry muscular edema in the biceps femoris muscle in keeping radiologically with sciatic neuropathy. Conclusion: MR neurography has proven to be valuable in narrowing the differential diagnosis of the reported imaging findings and showed a very good correlation to the NCVs, laboratory investigations, and sural nerve biopsy. Although a very rare complication, COVID-19 could be a potential direct cause of sciatic neuropathy.
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Mao, L., H. Jin, M. Wang, et al., Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA neurology, 2020. 77(6): p. 683-690.
Elmokadem, A.H., D. Bayoumi, M. Mansour, et al., COVID‐19‐associated acute invasive fungal sinusitis: Clinical and imaging findings. Journal of Neuroimaging, 2022.
Michaelson, N.M., A. Malhotra, Z. Wang, et al., Peripheral neurological complications during COVID-19: A single center experience. Journal of the neurological sciences, 2022. 434: p. 120118.
Distad, B.J. and M.D. Weiss, Clinical and electrodiagnostic features of sciatic neuropathies. Physical Medicine and Rehabilitation Clinics, 2013. 24(1): p. 107-120.
Ergun, T. and H. Lakadamyali, CT and MRI in the evaluation of extraspinal sciatica. The British journal of radiology, 2010. 83(993): p. 791-803.
Chen, Y., E.M. Haacke, and J. Li, Peripheral nerve magnetic resonance imaging. F1000Research, 2019. 8.
Filler, A.G., J. Haynes, S.E. Jordan, et al., Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment. Journal of Neurosurgery: Spine, 2005. 2(2): p. 99-115.
Chitranjan, H. Kandpal, and K. Madhusudhan, Sciatic hernia causing sciatica: MRI and MR neurography showing entrapment of sciatic nerve. The British Journal of Radiology, 2010. 83(987): p. e65-e66.
Lewis, A.M., R. Layzer, J. Engstrom, N.M. Barbaro, and C.T. Chin, Magnetic resonance neurography in extraspinal sciatica. Archives of Neurology, 2006. 63(10): p. 1469-1472.
Chhabra, A., T. Soldatos, G. Andreisek, et al., High resolution 3T MR neurography in sciatic neuropathy. Skeletal Radiology, 2011. 40 (4): p. 500.
Cejas, C., M. Aguilar, L. Falcón, N. Caneo, and M. Acuña, High resolution (3 T) magnetic resonance neurography of the sciatic nerve. Radiología (English Edition), 2013. 55(3): p. 195-202.
Vaeggemose, M., M. Pham, S. Ringgaard, et al., Magnetic resonance neurography visualizes abnormalities in sciatic and tibial nerves in patients with type 1 diabetes and neuropathy. Diabetes, 2017. 66(7): p. 1779-1788.
Chhabra, A., A.J. Madhuranthakam, and G. Andreisek, Magnetic resonance neurography: current perspectives and literature review. European Radiology, 2018. 28(2): p. 698-707.
Chhabra, A., Peripheral MR neurography: approach to interpretation. Neuroimaging Clinics, 2014. 24(1): p. 79-89.
Abu-Rumeileh, S., A. Abdelhak, M. Foschi, H. Tumani, and M. Otto, Guillain–Barré syndrome spectrum associated with COVID-19: an up-to-date systematic review of 73 cases. Journal of neurology, 2021. 268(4): p. 1133-1170.
Kamel, W.A., I.I. Ismail, and J.Y. Al-Hashel, Guillain-Barre syndrome following COVID-19 infection: first case report from Kuwait and review of the literature. Dubai Medical Journal, 2021. 4(2): p. 107-111.
Feinberg, J. and S. Sethi, Sciatic neuropathy: case report and discussion of the literature on postoperative sciatic neuropathy and sciatic nerve tumors. HSS Journal®, 2006. 2(2): p. 181-187.
Thawait, S., K. Wang, T. Subhawong, et al., Peripheral nerve surgery: the role of high-resolution MR neurography. American journal of neuroradiology, 2012. 33(2): p. 203-210.
Toscano, G., F. Palmerini, S. Ravaglia, et al., Guillain–Barré syndrome associated with SARS-CoV-2. New England Journal of Medicine, 2020. 382(26): p. 2574-2576.
Morici, N., M. Bottiroli, R. Fumagalli, C. Marini, and M. Cattaneo, Role of von Willebrand factor and ADAMTS-13 in the pathogenesis of thrombi in SARS-CoV-2 infection: time to rethink. Thrombosis and haemostasis, 2020. 120(09): p. 1339-1342.
Hobson-Webb, L.D. and V.C. Juel, Common entrapment neuropathies. CONTINUUM: Lifelong Learning in Neurology, 2017. 23(2): p. 487-511.
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