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坐骨神经病变

Sciatic neuropathy.

作者信息

Yuen E C, So Y T

机构信息

Department of Neurology, University of Washington, Seattle, Washington 98195, USA.

出版信息

Neurol Clin. 1999 Aug;17(3):617-31, viii. doi: 10.1016/s0733-8619(05)70155-9.

Abstract

Injuries to the sciatic nerve cause neurologic deficits in the peroneal and tibial nerve distributions. Interestingly, most injuries result in more severe deficits to the peroneal division compared to the tibial division. Thus, it can sometimes be difficult to distinguish sciatic neuropathy from peroneal neuropathy. The long course of the sciatic nerve leaves it vulnerable to nerve injury from a variety of causes. Most sciatic neuropathies are acute in onset, such as from hip arthroplasty and hip fracture or dislocation, but some occur from prolonged compression, such as during coma. Entrapment of the sciatic nerve by mass lesions or by the piriformis muscle is relatively rare.

摘要

坐骨神经损伤会导致腓总神经和胫神经分布区域出现神经功能缺损。有趣的是,与胫神经分支相比,大多数损伤导致腓总神经分支的功能缺损更为严重。因此,有时很难将坐骨神经病变与腓总神经病变区分开来。坐骨神经行程较长,容易因多种原因受到神经损伤。大多数坐骨神经病变起病急,如髋关节置换术、髋部骨折或脱位所致,但有些是由于长时间受压引起的,如昏迷期间。肿块病变或梨状肌压迫坐骨神经相对少见。

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