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Extra-spinal sciatica and sciatica mimics: a scoping review

Suzon Al Hasan|Md Abu Bakar Siddiq|Danny Clegg|Johannes J Rasker
대한통증학회 (The Korean Pain Society)|2020.10|The Korean Journal of Pain|제33권 제4호|pp. 305-317|DOI 10.3344/kjp.2020.33.4.305

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키워드

Low Back PainSciaticaChronic PainLumbar VertebraeMyofascial Pain SyndromeOsteitisButtocksSciatic Nerve.Piriformis Muscle Syndrome

초록

Not all sciatica-like manifestations are of lumbar spine origin. Some of them are caused at points along the extra-spinal course of the sciatic nerve, making diagnosis difficult for the treating physician and delaying adequate treatment. While evaluating a patient with sciatica, straightforward diagnostic conclusions are impossible without first excluding sciatica mimics. Examples of benign extra-spinal sciatica are: piriformis syndrome, walletosis, quadratus lumborum myofascial pain syndrome, cluneal nerve disorder, and osteitis condensans ilii. In some cases, extra-spinal sciatica may have a catastrophic course when the sciatic nerve is involved in cyclical sciatica, or the piriformis muscle in piriformis pyomyositis. In addition to cases of sciatica with clear spinal or extra-spinal origin, some cases can be a product of both origins; the same could be true for pseudo-sciatica or sciatica mimics, we simply don’t know how prevalent extra-spinal sciatica is among total sciatica cases. As treatment regimens differ for spinal, extra-spinal sciatica, and sciatica-mimics, their precise diagnosis will help physicians to make a targeted treatment plan. As published works regarding extra-spinal sciatica and sciatica mimics include only a few case reports and case series, and systematic reviews addressing them are hardly feasible at this stage, a scoping review in the field can be an eye-opener for the scientific community to do larger-scale prospective research.

Abstract

Not all sciatica-like manifestations are of lumbar spine origin. Some of them are caused at points along the extra-spinal course of the sciatic nerve, making diagnosis difficult for the treating physician and delaying adequate treatment. While evaluating a patient with sciatica, straightforward diagnostic conclusions are impossible without first excluding sciatica mimics. Examples of benign extra-spinal sciatica are: piriformis syndrome, walletosis, quadratus lumborum myofascial pain syndrome, cluneal nerve disorder, and osteitis condensans ilii. In some cases, extra-spinal sciatica may have a catastrophic course when the sciatic nerve is involved in cyclical sciatica, or the piriformis muscle in piriformis pyomyositis. In addition to cases of sciatica with clear spinal or extra-spinal origin, some cases can be a product of both origins; the same could be true for pseudo-sciatica or sciatica mimics, we simply don’t know how prevalent extra-spinal sciatica is among total sciatica cases. As treatment regimens differ for spinal, extra-spinal sciatica, and sciatica-mimics, their precise diagnosis will help physicians to make a targeted treatment plan. As published works regarding extra-spinal sciatica and sciatica mimics include only a few case reports and case series, and systematic reviews addressing them are hardly feasible at this stage, a scoping review in the field can be an eye-opener for the scientific community to do larger-scale prospective research.

참고문헌 (100)

  1. Stafford MA, "Sciatica : a review of history, epidemiology, pathogenesis, and the role of epidural steroid injection in management", Br J Anaesth, 99, pp.461~473 (2007)
  2. Mixter WJ, "Rupture of the intervertebral disc with involvement of the spinal canal", N Engl J Med, 211, pp.210~215 (1934)
  3. Konstantinou K, "Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study", BMC Musculoskelet Disord, 16, pp.332~ (2015)
  4. Ailianou A, "Review of the principal extra spinal pathologies causing sciatica and new MRI approaches", Br J Radiol, 85, pp.672~681 (2012)
  5. Valat JP, "Sciatica", Best Pract Res Clin Rheumatol, 24, pp.241~252 (2010)
  6. Buijs E, "Sciatica and the sacroiliac joint : a forgotten concept", Br J Anaesth, 99, pp.713~716 (2007)
  7. Siddiq MA, "Piriformis syndrome : a case series of 31Bangladeshi people with literature review", Eur J Orthop Surg Traumatol, 27, pp.193~203 (2017)
  8. Atıcı A, "A rare cause of non-discogenic sciatica; musculus gemellus inferior : a case report", Turk J Phys Med Rehabil, 63, pp.355~356 (2017)
  9. Shete KM, "Adductor magnus tear a rare cause of sciatica : a case report", EC Orthop, 7, pp.197~201 (2017)
  10. Panagiotopoulos EC, "Sciatica due to extrapelvic heterotopic ossification : a case report", J Med Case Rep, 2, pp.298~ (2008)
  11. Hansen JM, "Sciatic neuropathy as first sign of metastasising prostate cancer", BMJ Case Rep, 2010 (2010)
  12. Siddiq AB, "Superior cluneal nerve disorder: how often do we consider?", J Recent Adv Pain, 2, pp.4~5 (2016)
  13. Ergun T, "CT and MRI in the evaluation of extraspinal sciatica", Br J Radiol, 83, pp.791~803 (2010)
  14. Siddiq MAB, "Wallet neuritis-an example of peripheral sensitization", Curr Rheumatol Rev, 14, pp.279~283 (2018)
  15. "CASP checklists" (2020)[URL]
  16. Hopayian K, "The clinical features of the piriformis syndrome : a systematic review", Eur Spine J, 19, pp.2095~2109 (2010)
  17. Robinson DR, "Pyriformis syndrome in relation to sciatic pain", Am J Surg, 73, pp.355~358 (1947)
  18. Siddiq AB, "Piriformis syndrome : still unsolved issues", Int J Clin Rheumtol, 13, pp.338~340 (2018)
  19. Boyajian-O’Neill LA, "Diagnosis and management of piriformis syndrome : an osteopathic approach", J Am Osteopath Assoc, 108, pp.657~664 (2008)
  20. Siddiq MA, "Piriformis syndrome in fibromyalgia : clinical diagnosis and successful treatment", Case Rep Rheumatol, 2014, pp.893836~ (2014)
  21. 박찬홍, "Piriformis Muscle: Clinical Anatomy with Computed Tomography in Korean Population", The Korean Journal of Pain, 24(2), pp.87~92 (2011), 대한통증학회
  22. Fishman LM, "Piriformis syndrome : diagnosis, treatment, and outcome--a 10-year study", Arch Phys Med Rehabil, 83, pp.295~301 (2002)
  23. 정희석, "Long-term assessment of clinical outcomes of ultrasound-guided steroid injections in patients with piriformis syndrome", ULTRASONOGRAPHY, 34(3), pp.206~210 (2015), 대한초음파의학회
  24. Al-Al-Shaikh M, "Évaluation en IRM des modifications morphologiques du muscle piriforme chez les patients traités par toxine botulinique pour syndrome du canal infrapiriforme", J Radiol Diagn Interv, 96(Suppl 2), pp.S99~105 (2015)
  25. Battle JD, "Credit-carditis — a new clinical entity?", N Engl J Med, 274, pp.467~ (1966)
  26. Siddiq MAB, "Piriformis syndrome and wallet neuritis: are they the same?", Cureus, 10, pp.e2606~ (2018)
  27. Lutz EG, "Credit-card-wallet sciatica", JAMA, 240, pp.738~ (1978)
  28. Bosma JW, "Severe isolated sciatic neuropathy due to a modified lotus position", World J Clin Cases, 2, pp.39~41 (2014)
  29. 김동환, "가부좌에 의해 발생한 양측성 좌골신경병증 1예", 대한신경과학회지, 22(4), pp.418~420 (2004), 대한신경과학회
  30. Siddiq MAB, "Piriformis pyomyositis, a cause of piriformis syndrome-a systematic search and review", Clin Rheumatol, 38, pp.1811~1821 (2019)
  31. Nevin Lam AC, "Catamenial sciatica", J Obstet Gynaecol Can, 30, pp.555~ (2008)
  32. Brosens I, "Endometriosis, a modern syndrome", Indian J Med Res, 133, pp.581~593 (2011)
  33. Steinberg JA, "Endometriosis of the conus medullaris causing cyclic radiculopathy", J Neurosurg Spine, 21, pp.799~804 (2014)
  34. Chamié LP, "Atypical sites of deeply infiltrative endometriosis : clinical characteristics and imaging findings", Radiographics, 38, pp.309~328 (2018)
  35. Vercellini P, "Evidence for asymmetric distribution of sciatic nerve endometriosis", Obstet Gynecol, 102, pp.383~387 (2003)
  36. Dhôte R, "Cyclic sciatica. A manifestation of compression of the sciatic nerve by endometriosis. A case report", Spine, 21, pp.2277~2279 (1996)
  37. Possover M, "Isolated infiltrative endometriosis of the sciatic nerve : a report of three patients", Fertil Steril, 87, pp.417.e17~9 (2007)
  38. Siquara De Sousa AC, "Neural involvement in endometriosis : review of anatomic distribution and mechanisms", Clin Anat, 28, pp.1029~1038 (2015)
  39. Mannan K, "Cyclical sciatica : endometriosis of the sciatic nerve", J Bone Joint Surg Br, 90, pp.98~101 (2008)
  40. Floyd JR 2nd, "Cyclic sciatica from extrapelvic endometriosis affecting the sciatic nerve", J Neurosurg Spine, 14, pp.281~289 (2011)
  41. Ayoub MA, "Refractory osteitis condensans ilii : outcome of a novel mini-invasive surgical approach", Int Orthop, 37, pp.1251~1256 (2013)
  42. 김해림, "미산부 여성에서 발생한 Osteitis Condensans Ilii 1예", 대한류마티스학회지, 13(4), pp.226~229 (2006), 대한류마티스학회
  43. Gillespie HW, "Osteitis condensans", Br J Radiol, 26, pp.16~21 (1953)
  44. Vadivelu R, "An uncommon cause of back pain in pregnancy", Postgrad Med J, 81, pp.65~67 (2005)
  45. Olivieri I, "Differential diagnosis between osteitis condensans ilii and sacroiliitis", J Rheumatol, 17, pp.1504~1512 (1990)
  46. Dihlmann W, "Osteitis condensans ilii and sacroiliitis", J Rheumatol, 18, pp.1430~1432 (1991)
  47. Biswas S, "Osteitis condensans ilii : an uncommon cause of back pain", Cureus, 11, pp.e4518~ (2019)
  48. Szabados MC, "Osteitis condensans ilit; report of three cases associated with urinary infection", J Fla Med Assoc, 34, pp.95~99 (1947)
  49. Mitra R, "Osteitis condensans ilii", Rheumatol Int, 30, pp.293~296 (2010)
  50. Parperis K, "Osteitis condensans ilii : current knowledge and diagnostic approach", Rheumatol Int, 40, pp.1013~1019 (2020)
  51. McVeigh CM, "Diagnosis and management of ankylosing spondylitis", BMJ, 333, pp.581~585 (2006)
  52. van der Heijde D, "Tofacitinib in patients with ankylosing spondylitis : a phase II, 16-week, randomised, placebocontrolled, dose-ranging study", Ann Rheum Dis, 76, pp.1340~1347 (2017)
  53. Strong EK, "The cluneal nerve syndrome; a distinct type of low back pain", Ind Med Surg, 26, pp.417~429 (1957)
  54. Kuniya H, "Anatomical study of superior cluneal nerve entrapment", J Neurosurg Spine, 19, pp.76~80 (2013)
  55. Maigne JY, "Trigger point of the posterior iliac crest : painful iliolumbar ligament insertion or cutaneous dorsal ramus pain? An anatomic study", Arch Phys Med Rehabil, 72, pp.734~737 (1991)
  56. Morimoto D, "Surgical treatment of superior cluneal nerve entrapment neuropathy", J Neurosurg Spine, 19, pp.71~75 (2013)
  57. Chang KV, "Sonographic tracking of trunk nerves : essential for ultrasound-guided pain management and research", J Pain Res, 10, pp.79~88 (2017)
  58. Wan Q, "MRI assessment of paraspinal muscles in patients with acute and chronic unilateral low back pain", Br J Radiol, 88, pp.20140546~ (2015)
  59. Iglesias-González JJ, "Myofascial trigger points, pain, disability, and sleep quality in patients with chronic nonspecific low back pain", Pain Med, 14, pp.1964~1970 (2013)
  60. Kamaz M, "CT measurement of trunk muscle areas in patients with chronic low back pain", Diagn Interv Radiol, 13, pp.144~148 (2007)
  61. Hides J, "MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain", Br J Sports Med, 43, pp.310~311 (2009)
  62. Almedghio S, "The acute and chronic presentation of gluteus medius calcific tendinitis-a case report of two", J Orthop Case Rep, 4, pp.48~50 (2014)
  63. Grimaldi A, "Gluteal tendinopathy : a review of mechanisms, assessment and management", Sports Med, 45, pp.1107~1119 (2015)
  64. Lee JJ, "Platelet-rich plasma injections with needle tenotomy for gluteus medius tendinopathy : a registry study with prospective follow-up", Orthop J Sports Med, 4 (2016)
  65. Fitzpatrick J, "The effectiveness of platelet-rich plasma injections in gluteal tendinopathy : a randomized, double-blind controlled trial comparing a single platelet-rich plasma injection with a single corticosteroid injection", Am J Sports Med, 46, pp.933~939 (2018)
  66. Small SP, "Preventing sciatic nerve injury from intramuscular injections : literature review", J Adv Nurs, 47, pp.287~296 (2004)
  67. Gentili F, "Clinical and experimental aspects of injection injuries of peripheral nerves", Can J Neurol Sci, 7, pp.143~151 (1980)
  68. Krasnikova EIa, "Post-injection neuritis of the sciatic nerve", Zh Nevropatol Psikhiatr Im S S Korsakova, 86, pp.499~501 (1986)
  69. Geyik S, "Preventing sciatic nerve injury due to intramuscular injection : ten-year single-center experience and literature review", Turk Neurosurg, 27, pp.636~640 (2017)
  70. Yaffe B, "Peripheral nerve injection injury : an experimental pilot study of treatment modalities", J Reconstr Microsurg, 3, pp.33~37 (1986)
  71. Villarejo FJ, "Injection injury of the sciatic nerve(370 cases)", Childs Nerv Syst, 9, pp.229~232 (1993)
  72. Fatunde OJ, "Injection-induced sciatic nerve injury in Nigerian children", Cent Afr J Med, 47, pp.35~38 (2001)
  73. Mayer M, "Sciatic paralysis after a buttock intramuscular injection in children: an ongoing risk factor", Arch Pediatr, 8, pp.321~323 (2001)
  74. Sobel E, "Drop foot as a complication of acupuncture injury and intragluteal injection", J Am Podiatr Med Assoc, 87, pp.52~59 (1997)
  75. Napiontek M, "Paralytic drop foot and gluteal fibrosis after intramuscular injections", J Bone Joint Surg Br, 75, pp.83~85 (1993)
  76. Bigos SJ, "Foot deformities secondary to gluteal injection in infancy", J Pediatr Orthop, 4, pp.560~563 (1984)
  77. Huang Y, "Gluteal sciatic nerve injury and its treatment", Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 14, pp.83~86 (2000)
  78. Godkin O, "Large schwannoma of the sciatic nerve", BMJ Case Rep, 2016 (2016)
  79. Rhanim A, "A rare cause of chronic sciatic pain : schwannoma of the sciatic nerve", J Clin Orthop Trauma, 4, pp.89~92 (2013)
  80. Munakomi S, "Case report : sciatic ner ve schwannoma-a rare cause of sciatica", F1000Res, 6, pp.267~ (2017)
  81. Sintzoff SA Jr, "Simultaneous neurofibroma and schwannoma of the sciatic nerve", AJNR Am J Neuroradiol, 13, pp.1249~1252 (1992)
  82. Watanabe T, "Malignant peripheral nerve sheath tumour arising within neurofibroma. An immunohistochemical analysis in the comparison between benign and malignant components", J Clin Pathol, 54, pp.631~636 (2001)
  83. Wang P, "Giant intrapelvic malignant peripheral nerve sheath tumor mimicking disc herniation : a case report", Mol Clin Oncol, 5, pp.653~656 (2016)
  84. Van Gompel JJ, "Vascular malformations, rare causes of sciatic neuropathy : a case series", Neurosurgery, 67, pp.1133~1142 (2010)
  85. Vos LD, "Congenital pelvic arteriovenous malformation : a rare cause of sciatica", Clin Neurol Neurosurg, 97, pp.229~232 (1995)
  86. Agarwal N, "Meralgia paresthetica after spine surgery on the Jackson table", Clin Spine Surg, 31, pp.53~57 (2018)
  87. Weng WC, "Risk factor analysis for meralgia paresthetica : a hospitalbased study in Taiwan", J Clin Neurosci, 43, pp.192~195 (2017)
  88. Knapik JJ, "Load carriage-related paresthesias(part 2) : meralgia paresthetica", J Spec Oper Med, 17, pp.94~100 (2017)
  89. Juhl CS, "Meralgia paresthetica after prone positioning ventilation in the intensive care unit", Case Rep Crit Care, 2016, pp.7263201~ (2016)
  90. Payne RA, "Correlation of histopathology and clinical symptoms in meralgia paresthetica", Cureus, 9, pp.e1789~ (2017)
  91. Jeong Eun Kim, "Ultrasound-guided Lateral Femoral Cutaneous Nerve Block in Meralgia Paresthetica", The Korean Journal of Pain, 24(2), pp.115~118 (2011), 대한통증학회
  92. Murphy BP, "Piriformis syndrome mimics sural nerve entrapment", J Am Podiatr Med Assoc, 87, pp.183~184 (1997)
  93. Babita Ghai, "Extended duration pulsed radiofrequency for the management of refractory meralgia paresthetica:a series of five cases", The Korean Journal of Pain, 31(3), pp.215~220 (2018), 대한통증학회
  94. Singh H, "Sural nerve lipoma : an anatomy review", Ann Clin Case Rep, 1, pp.1195~ (2016)
  95. Bianchi S, "Ultrasonography of the sural nerve : normal and pathologic appearances", J Ultrasound Med, 37, pp.1257~1265 (2018)
  96. George K Paraskevas, "Fascial entrapment of the sural nerve and its clinical relevance", Anatomy and Cell Biology, 47(2), pp.144~147 (2014), 대한해부학회
  97. Porr J, "Entrapment of the saphenous nerve at the adductor canal affecting the infrapatellar branch-a report on two cases", J Can Chiropr Assoc, 57, pp.341~349 (2013)
  98. Se Yeong Jo, "Lumbosacral Plexopathy Caused by Presacral Recurrence of Colon Cancer Mimicking Degenerative Spinal Disease: A Case Report", Neurospine, 12(2), pp.103~106 (2015), 대한척추신경외과학회[DOI]
  99. Hansen JM, "Sciatic neuropathy as first sign of metastasising prostate cancer", BMJ Case Rep, 2010 (2010)
  100. Ichikawa J, "Intraneural metastasis of gastric carcinoma leads to sciatic nerve palsy", BMC Cancer, 12, pp.313~ (2012)

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