Turan Ilica Ahmet, Yasar Evren, Tuba Sanal H, Duran Cihan, Guvenc Inanc
Department of Radiology, Diyarbakir Military Hospital, 21100, Diyarbakir, Turkey.
Clin Rheumatol. 2008 Mar;27(3):403-4. doi: 10.1007/s10067-007-0761-4. Epub 2007 Oct 17.
A 34-year-old man presented with a 15-month history of pain along the left sciatic nerve. Radiographs and computed tomography (CT) revealed an exostosis on the postero-inferior aspect of the left femoral neck. Ultrasonographic examination of left upper thigh and a pelvic magnetic resonance (MR) imaging showed an enlarged sciatic nerve adjacent to the exostosis. Although peroneal and ulnar neuropathies due to the compression by exostosis are reported frequently, imaging findings of sciatic nerve involvement were not well documented in the literature. Multidetector CT and MR findings of a sciatic nerve compression caused by a femoral neck exostosis were presented.
一名34岁男性,有沿左侧坐骨神经疼痛15个月的病史。X线片和计算机断层扫描(CT)显示左股骨颈后下侧有骨疣。左大腿上部超声检查及骨盆磁共振(MR)成像显示骨疣附近坐骨神经增粗。虽然因骨疣压迫导致的腓总神经和尺神经病变报道较多,但坐骨神经受累的影像学表现文献中记载较少。本文介绍了股骨颈骨疣导致坐骨神经受压的多排CT及MR表现。