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Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring
A rare case of chronic pain of entrapment neuropathy of the sciatic nerve successfully relieved by surgical decompression is presented. A 71-year-old male suffered a chronic right buttock pain of duration of 7 years which radiating to the right distal leg and foot. His pain developed gradually over...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Neurosurgical Society
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345190/ https://www.ncbi.nlm.nih.gov/pubmed/25733994 http://dx.doi.org/10.3340/jkns.2015.57.2.123 |
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author | Son, Byung-chul Kim, Deog-ryeong Jeun, Sin Soo Lee, Sang-won |
author_facet | Son, Byung-chul Kim, Deog-ryeong Jeun, Sin Soo Lee, Sang-won |
author_sort | Son, Byung-chul |
collection | PubMed |
description | A rare case of chronic pain of entrapment neuropathy of the sciatic nerve successfully relieved by surgical decompression is presented. A 71-year-old male suffered a chronic right buttock pain of duration of 7 years which radiating to the right distal leg and foot. His pain developed gradually over one year after underwenting drainage for the gluteal abscess seven years ago. A cramping buttock and intermittently radiating pain to his right foot on sitting, walking, and voiding did not respond to conventional treatment. An MRI suggested a post-inflammatory adhesion encroaching the proximal course of the sciatic nerve beneath the piriformis as it emerges from the sciatic notch. Upon exploration of the sciatic nerve, a fibrotic tendinous scar beneath the piriformis was found and released proximally to the sciatic notch. His chronic intractable pain was completely relieved within days after the decompression. However, thigh weakness and hypesthesia of the foot did not improve. This case suggest a need for of more prompt investigation and decompression of the chronic sciatic entrapment neuropathy which does not improve clinically or electrically over several months. |
format | Online Article Text |
id | pubmed-4345190 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-43451902015-03-02 Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring Son, Byung-chul Kim, Deog-ryeong Jeun, Sin Soo Lee, Sang-won J Korean Neurosurg Soc Case Report A rare case of chronic pain of entrapment neuropathy of the sciatic nerve successfully relieved by surgical decompression is presented. A 71-year-old male suffered a chronic right buttock pain of duration of 7 years which radiating to the right distal leg and foot. His pain developed gradually over one year after underwenting drainage for the gluteal abscess seven years ago. A cramping buttock and intermittently radiating pain to his right foot on sitting, walking, and voiding did not respond to conventional treatment. An MRI suggested a post-inflammatory adhesion encroaching the proximal course of the sciatic nerve beneath the piriformis as it emerges from the sciatic notch. Upon exploration of the sciatic nerve, a fibrotic tendinous scar beneath the piriformis was found and released proximally to the sciatic notch. His chronic intractable pain was completely relieved within days after the decompression. However, thigh weakness and hypesthesia of the foot did not improve. This case suggest a need for of more prompt investigation and decompression of the chronic sciatic entrapment neuropathy which does not improve clinically or electrically over several months. The Korean Neurosurgical Society 2015-02 2015-02-26 /pmc/articles/PMC4345190/ /pubmed/25733994 http://dx.doi.org/10.3340/jkns.2015.57.2.123 Text en Copyright © 2015 The Korean Neurosurgical Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Son, Byung-chul Kim, Deog-ryeong Jeun, Sin Soo Lee, Sang-won Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring |
title | Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring |
title_full | Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring |
title_fullStr | Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring |
title_full_unstemmed | Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring |
title_short | Decompression of the Sciatic Nerve Entrapment Caused by Post-Inflammatory Scarring |
title_sort | decompression of the sciatic nerve entrapment caused by post-inflammatory scarring |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4345190/ https://www.ncbi.nlm.nih.gov/pubmed/25733994 http://dx.doi.org/10.3340/jkns.2015.57.2.123 |
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