Tiel Robert L
Department of Neurosurgery, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA.
Neurosurg Clin N Am. 2008 Oct;19(4):623-7, vii. doi: 10.1016/j.nec.2008.07.028.
This article explores the myths surrounding piriformis syndrome. It looks at the syndrome's history ranging from early hypothesis to acceptance; then from disfavor to resurrection as a diagnosis for patients with leg pain devoid of objective neurologic deficits, without disc herniations. It includes a critical review of the clinical literature and treatment strategies. It calls for a renaming of the syndrome to "nonlocalizing sciatica" and restriction of surgical resection of the piriformis to cases where all other treatment has failed. This is part of a Point-Counterpoint discussion with Dr. Aaron Filler's presentation of "Diagnosis and Management".
本文探讨了围绕梨状肌综合征的种种误解。它审视了该综合征的历史，从早期假说到被接受；然后从失宠到作为无客观神经功能缺损、无椎间盘突出的腿痛患者的诊断而复苏。它包括对临床文献和治疗策略的批判性综述。它呼吁将该综合征重新命名为“非定位性坐骨神经痛”，并将梨状肌手术切除限制在所有其他治疗均失败的病例。这是与亚伦·菲勒博士关于“诊断与治疗”的陈述进行的正反观点讨论的一部分。
