Öz
The piriformis syndrome is
a rare neuromusculer pathology which is characterised by hip and low back pain.
It is the cause of non discogenic lumbalgia and
sciatica. Hip pain, increase in leg pain with internal rotation of the
hip, onset of sciatic nerve pain with palpation are the basic features of
piriformis sydrome. Piriformis syndrome is a very rare cause of low back pain
and can be diagnosed in order to be remembered first, then the other possible
causes should be excluded. Diagnosis is made by detailed history and careful
physical examination. Here, we aimed to draw attention to a piriformis
syndrome which presented together with L4-L5 radiculopathy in MR imaging and
misdiagnosed as lumbar herniated disc.
Anahtar Kelimeler
Kaynakça
- Boyajian-O'Neill LA, McClain RL, Coleman MK, Thomas PP. Diagnosis and management of piriformis syndrome: an osteopathic approach. J Am Osteopath Assoc. 2008;108(11):657-64.
- Parlak A, Aytekin A, Develi S, Ekinci S. Piriformis syndrome: a case with non-discogenic sciatalgia. Turk Neurosurg. 2014;24:117-9.
- Dere K, Akbas M, Luleci N. A rare cause of a piriformis syndrome. J Back Musculoskelet Rehabil. 2009;22:55-8.
- Windisch G, Braun EM, Anderhuber F. Priformis muscle: clinical anatomy and consideration of the piriformis syndrome. Surg Radiol Anat. 2007;29(1):37-45.
- Grgic V. Piriformis muscle syndrome: etiology, pathogenesis, clinical manifestasions, diagnosis, differential diagnosis and therapy. Lijec Vjesn. 2013;135:33-40.
- Yeoman W. The relation of arthritis of the sacro-iliac joint to sciatica, with an analysis of 100 cases. Lancet. 1928;212(5492):1119-23.
- Robinson DR. Pyriformis syndrome in relation to sciatic pain. Am J Surg. 1947;73(3):355-8.
- Huerto AP, Yeo SN, Ho KY: Piriformis muscle injection using ultrasonography and motor stimulation-report of a technique. Pain Physician. 2007;10 (5):687-90.
- Guvençer M, Akyer P, Iyem C, Tetik S, Naderi S. Anatomic considerations and the relationship between the piriformis muscle and the sciatic nerve. Surg Radiol Anat. 2008;30(6):467-74.
- Hulberta A, Deyleb GD. Differential diagnosis and conservative treatment for piriformis syndrome: a review of the literature. Curr Orthop Pract. 2009;20(3):313-9.
- Niu CC, Lai PL, Fu TS, Chen LH, Chen WJ. Ruling out piriformis syndrome before diagnosing lumbar radiculopathy. Chang Gung Med J. 2009;32:182-7.
- Naja Z, Al-Tannir M, El-Rajab M, Ziade F, Daher Y, Khatib H, et al. The effectiveness of clonidine-bupivacaine repeated nerve stimulator-guided injection in piriformis syndrome. Clin J Pain. 2009;25(3):199-205.
Öz
Piriformis
sendromu, kalça ve bel ağrısı ile karakterize nadir görülen nöromusculer bir
patolojidir. Non diskojenik lumbalji ve siyatalji nedenidir. Kalçada ağrı, bacak
ağrısının kalçanın iç rotasyonuyla artması, palpasyonla siyatik sinir ağrısının
ortaya çıkması piriformis sendromunun temel özellikleridir.
Klinik olarak lomber disk hernisi ile sıklıkla karışabilmektedir. Piriformis
sendromu bel ağrısının çok nadir görülen bir nedeni olup, tanı konulabilmesi
için öncelikle bu hastalığın hatırlanması sonra da diğer olası sebeplerin
ekarte edilmesi gerekir. Ayrıntılı
anamnez ve dikkatli bir fizik muayene ile tanı konmaktadır. Bu yazıda, Manyetik
rezonanans (MR) görüntülemede L4-5 kök basısı olan ve yanlışlıkla lomber disk
hernisi tanısı alan bir piriformis sendrom olgusunu dikkat çekmeyi amaçladık.
Anahtar Kelimeler
Kaynakça
- Boyajian-O'Neill LA, McClain RL, Coleman MK, Thomas PP. Diagnosis and management of piriformis syndrome: an osteopathic approach. J Am Osteopath Assoc. 2008;108(11):657-64.
- Parlak A, Aytekin A, Develi S, Ekinci S. Piriformis syndrome: a case with non-discogenic sciatalgia. Turk Neurosurg. 2014;24:117-9.
- Dere K, Akbas M, Luleci N. A rare cause of a piriformis syndrome. J Back Musculoskelet Rehabil. 2009;22:55-8.
- Windisch G, Braun EM, Anderhuber F. Priformis muscle: clinical anatomy and consideration of the piriformis syndrome. Surg Radiol Anat. 2007;29(1):37-45.
- Grgic V. Piriformis muscle syndrome: etiology, pathogenesis, clinical manifestasions, diagnosis, differential diagnosis and therapy. Lijec Vjesn. 2013;135:33-40.
- Yeoman W. The relation of arthritis of the sacro-iliac joint to sciatica, with an analysis of 100 cases. Lancet. 1928;212(5492):1119-23.
- Robinson DR. Pyriformis syndrome in relation to sciatic pain. Am J Surg. 1947;73(3):355-8.
- Huerto AP, Yeo SN, Ho KY: Piriformis muscle injection using ultrasonography and motor stimulation-report of a technique. Pain Physician. 2007;10 (5):687-90.
- Guvençer M, Akyer P, Iyem C, Tetik S, Naderi S. Anatomic considerations and the relationship between the piriformis muscle and the sciatic nerve. Surg Radiol Anat. 2008;30(6):467-74.
- Hulberta A, Deyleb GD. Differential diagnosis and conservative treatment for piriformis syndrome: a review of the literature. Curr Orthop Pract. 2009;20(3):313-9.
- Niu CC, Lai PL, Fu TS, Chen LH, Chen WJ. Ruling out piriformis syndrome before diagnosing lumbar radiculopathy. Chang Gung Med J. 2009;32:182-7.
- Naja Z, Al-Tannir M, El-Rajab M, Ziade F, Daher Y, Khatib H, et al. The effectiveness of clonidine-bupivacaine repeated nerve stimulator-guided injection in piriformis syndrome. Clin J Pain. 2009;25(3):199-205.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2018 |
| Gönderilme Tarihi | 1 Kasım 2017 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 20 Sayı: 1 |
Kaynak Göster
Bu Dergi, Kırıkkale Üniversitesi Tıp Fakültesi Yayınıdır.