Images in medicine

Neuritis ossificans: rare cause of sciatica

Salah Bellasri^1,&, Cherif El Asri²

 

¹Service d’Imagerie Médicale, Hôpital Militaire, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco, ²Service de Neurochirurgie, Hôpital Militaire, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco

 

 

^&Corresponding author
Salah Bellasri, Service d’Imagerie Médicale, Hôpital Militaire, Faculté de Médecine et de Pharmacie, Université Mohammed V, Rabat, Morocco

 

 

A 35-year old male, presented with 3 months history of intermittent sciatica involving the right lower extremity. There was no history of trauma or intra muscular injection. Results of neurological examination included a negative right sided Lasègue’s sign, an absent right Achilles tendon reflex, and decreased pinprick sense in the right S-1 distribution. Non-steroid anti-inflammatory drugs (NSAID) and myo-relaxant were prescript. Six weeks after his last visit to the neurosurgery outpatient clinic, the patient came back because during this period his condition did not improve. A computerized tomography (CT) scan demonstrated a localized calcification of the right S1 root.

 

 

Figure 1: (A) axial CT slice presented in bone window: showed a round shaped calcification of the right S1 root; (B) coronal oblique reconstructions in bone window: showed a round shaped calcification of the right S1 root; (C) sagittal oblique reconstructions in soft tissue window: showed a round shaped calcification of the right S1 root