Abstract
We report an instructive case of a 65-year-old man who presented with a dumb-bell shaped tuberculous abscess across the greater sciatic notch bilaterally compressing both sciatic nerves. Clinical symptoms progressed slowly and mimicked lumbar radiculopathy, thus delaying an accurate diagnosis. Anterolateral retroperitoneal and posterolateral gluteal approaches of the greater sciatic notch as well as the acetabulum on both sides were followed in order to provide safe viewing and resection of the abscess. The abscess wall was adherent to the sciatic nerve and surrounding blood vessels. The symptoms completely disappeared after resection of the abscess.
Similar content being viewed by others
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Baba, H., Okumura, Y., Furusawa, N. et al. Dumb-bell shaped tuberculous abscess across the greater sciatic notch compressing both sciatic nerves. Spinal Cord 36, 584–587 (1998). https://doi.org/10.1038/sj.sc.3100550
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.sc.3100550