Lee Jae Wook, Lee Sung-Moon, Lee Dong Gyu
Department of Rehabilitation Medicine, Keimyung University School of Medicine, Daegu, Korea.
Department of Diagnostic Radiology, Keimyung University School of Medicine, Daegu, Korea.
Ann Rehabil Med. 2016 Aug;40(4):741-4. doi: 10.5535/arm.2016.40.4.741. Epub 2016 Aug 24.
Pudendal nerve entrapment syndrome is an unusual cause of chronic pelvic pain. We experienced a case of pudendal neuralgia associated with a ganglion cyst. A 60-year-old male patient with a tingling sensation and burning pain in the right buttock and perineal area visited our outpatient rehabilitation center. Pelvis magnetic resonance imaging showed the presence of multiple ganglion cysts around the right ischial spine and sacrospinous ligament, and the pudendal nerve and vessel bundle were located between the ischial spine and ganglion cyst at the entrance of Alcock's canal. We aspirated the lesions under ultrasound guidance, and consequently his symptoms subsided during a 6-month follow-up. This is the first report of pudendal neuralgia caused by compression from a ganglion cyst around the sacrospinous ligament.
阴部神经卡压综合征是慢性盆腔疼痛的一种罕见病因。我们遇到了一例与神经节囊肿相关的阴部神经痛病例。一名60岁男性患者，右臀部和会阴区有刺痛感和灼痛，前来我们的门诊康复中心就诊。骨盆磁共振成像显示右侧坐骨棘和骶棘韧带周围存在多个神经节囊肿，在阿尔科克管入口处，阴部神经和血管束位于坐骨棘和神经节囊肿之间。我们在超声引导下抽吸了病变，因此在6个月的随访期间他的症状得到缓解。这是第一例由骶棘韧带周围神经节囊肿压迫引起阴部神经痛的报告。
