Toopchizadeh Vahideh, Barzegar Mohammad, Habibzadeh Afshin
Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Child Neurol. 2015 Summer;9(3):69-72.
Sciatic nerve injury is one of the frequent mononeuropathies in children that occurs due to different causes such as nerve compression, trauma and stretch during surgery. Gluteal injection is an uncommon cause of sciatic injury in developed countries. Poor techniques and frequent injections are the common cause of injection palsy. Proneal division of the sciatic nerve is more prone to injury due to anatomic and structural characteristics. The diagnosis is based on electrophysiological studies and the recovery rate is poor. In this study, in a period of 2 years between 2012 and 2013, we report seven children under 6 years old (three females and four males) with abnormal gait and foot pain following gluteal injection in pediatric electrodiagnostic center. Five children had proneal component and two with tibial component injuries. Five children were followed for one year and only one showed good recovery.
坐骨神经损伤是儿童常见的单神经病之一，其由多种不同原因引起，如神经受压、外伤以及手术过程中的牵拉。在发达国家，臀肌注射是导致坐骨神经损伤的罕见原因。技术欠佳和频繁注射是注射性麻痹的常见原因。由于解剖学和结构特征，坐骨神经的腓总神经分支更易受损。诊断基于电生理检查，且恢复率较低。在本研究中，在2012年至2013年的两年期间，我们在儿科电诊断中心报告了7名6岁以下儿童（3名女性和4名男性），他们在臀肌注射后出现步态异常和足部疼痛。5名儿童为腓总神经损伤，2名儿童为胫神经损伤。5名儿童接受了一年的随访，只有1名显示出良好的恢复情况。
