Unusual cause of acute sciatica
Brahim Eljebbouri, Ali Akhaddar
Corresponding author: eljebbouri.brahim@yahoo.fr 
Received: 15 Mar 2014 - Accepted: 24 May 2014 - Published: 26 May 2014
Domain: Clinical medicine
Keywords: Acute sciatica, CT-scan, B acute lymphoblastic leukemia
©Brahim Eljebbouri et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Brahim Eljebbouri et al. Unusual cause of acute sciatica. Pan African Medical Journal. 2014;18:85. [doi: 10.11604/pamj.2014.18.85.4185]
Available online at: https://www.panafrican-med-journal.com//content/article/18/85/full
Original article 
Unusual cause of acute sciatica
Unusual cause of acute sciatica
Brahim Eljebbouri1,&, Ali Akhaddar1
1Department of Neurosurgery, Mohammed V Military Teaching Hospital, University of King Mohammed V Souissi, Maroc
&Corresponding author
Brahim Eljebbouri, Department of Neurosurgery, Mohammed V Military Teaching Hospital, University of King Mohammed V Souissi, Maroc
This 32-year-old-man was admitted to the emergency department because of S1 left acute sciatica. An emergency CT-scan showed a highly probable appearance of herniated disc in L5-S1 level (A). The patient was operated without finding disc herniation, but an aspect of anterior and posterior epidural abscess compressing the dural sheath at L5-S1. Medullary MRI showed after the up and the down extention of disease process (B). Histological examination of samples found a B lymphoblastic leukemia (C). The patient died 3 weeks after because of systemic infection. After review of literature, it was never been described that the sciatic pain can be a mode of revelation of B acute lymphoblastic leukemia. Only two cases reported this mode of revelation but for lymphoma requiring a surgical intervention -as our case- firstly to relieve the patient by a radicular decompression and secondly for histological diagnosis.
Figure 1: (A) CT-scan showed highly probable appearance of herniated disc in L5-S1 level; (B) Medullary MRI showed after the up and the down extention of disease process; (C) Histological examination of samples found a B lymphoblastic leukemia
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