Leg Weakness Caused by Bilateral Piriformis Syndrome: A Case Report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Piriformis syndrome (PS) is an uncommon neuromuscular disorder caused by the piriformis muscle (PM) compressing the sciatic nerve (SN). The main symptom of PS is sciatica, which worsens with certain triggering conditions. Because the pathophysiology is poorly understood, there are no definite diagnostic and therapeutic choices for PS. This case report presents a young woman who mainly complained of bilateral leg weakness. Electromyography revealed bilateral sciatic neuropathy and magnetic resonance imaging confirmed structural lesions causing entrapment of the bilateral SNs. After a laborious diagnosis of bilateral PS, she underwent PM releasing surgery. Few PS cases present with bilateral symptoms and leg weakness. Therefore, in such cases, a high level of suspicion is necessary for accurate and prompt diagnosis and treatment.
Abstract
Piriformis syndrome (PS) is an uncommon neuromuscular disorder caused by the piriformis muscle (PM) compressing the sciatic nerve (SN). The main symptom of PS is sciatica, which worsens with certain triggering conditions. Because the pathophysiology is poorly understood, there are no definite diagnostic and therapeutic choices for PS. This case report presents a young woman who mainly complained of bilateral leg weakness. Electromyography revealed bilateral sciatic neuropathy and magnetic resonance imaging confirmed structural lesions causing entrapment of the bilateral SNs. After a laborious diagnosis of bilateral PS, she underwent PM releasing surgery. Few PS cases present with bilateral symptoms and leg weakness. Therefore, in such cases, a high level of suspicion is necessary for accurate and prompt diagnosis and treatment.
참고문헌 (10)
- Hopayian K, "The clinical features of the piriformis syndrome: a systematic review", Eur Spine J, 19, pp.2095~2109 (2010)
- Michel F, "Piriformis muscle syndrome: diagnostic criteria and treatment of a monocentric series of 250 patients", Ann Phys Rehabil Med, 56, pp.371~383 (2013)
- Michel F, "The piriformis muscle syndrome: an exploration of anatomical context, pathophysiological hypotheses and diagnostic criteria", Ann Phys Rehabil Med, 56, pp.300~311 (2013)
- Rossi P, "Magnetic resonance imaging findings in piriformis syndrome: a case report", Arch Phys Med Rehabil, 82, pp.519~521 (2001)
- Woodson C, "Relationship of isokinetic peak torque with work and power for ankle plantar flexion and dorsiflexion", J Orthop Sports Phys Ther, 22, pp.113~115 (1995)
- Uchio Y, "Bilateral piriformis syndrome after total hip arthroplasty", Arch Orthop Trauma Surg, 117, pp.177~179 (1998)
- Al-Al-Shaikh M, "An MRI evaluation of changes in piriformis muscle morphology induced by botulinum toxin injections in the treatment of piriformis syndrome", Diagn Interv Imaging, 96, pp.37~43 (2015)
- Benson ER, "Posttraumatic piriformis syndrome:diagnosis and results of operative treatment", J Bone Joint Surg Am, 81, pp.941~949 (1999)
- Jenkins DB., "Hollinshead’s functional anatomy of the limbs and back", pp.294~306 (2009), Saunders
- Dumitru D, "Electrodiagnostic medicine", pp.713~776 (2002), Hanley & Belfus