Misirlioglu T O, Palamar D, Akgun K
Department of Physical Medicine and Rehabilitation, Koc University Hospital , Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, Istanbul University , Istanbul, Turkey.
Spinal Cord Ser Cases. 2015 Jul 9;1:15009. doi: 10.1038/scsandc.2015.9. eCollection 2015.
Single case report.
We present an incomplete paraplegic patient with lower back and hip pain, diagnosed and treated as the piriformis syndrome (PS).
University hospital, Turkey.
A 62-year-old woman with T3 paraplegia of American Spinal Injury Association Impairment Scale grade D presented with lower back and right hip pain accompanied by pain and numbness radiating to her right leg. After detailed anamnesis and physical examination, she was pre-diagnosed as having PS. The marked relief of pain following the ultrasound-guided piriformis muscle injection of 4 cc of lidocaine 2%+1 cc of betametazone confirmed the diagnosis.
Although the compressive neuropathies and musculoskeletal injuries of the upper limb leading to neuropathic and musculoskeletal pain in persons with spinal cord injury (SCI) are well described in literature, there is limited information regarding those of lower limbs. To the best of our knowledge, this is the first reported case of PS in a patient with SCI. PS should be kept in mind as a pain generator, especially in active and ambulatory SCI patients.
单病例报告。
我们报告一例不完全性截瘫患者，伴有下背部和髋部疼痛，被诊断为梨状肌综合征（PS）并接受治疗。
土耳其的大学医院。
一名62岁女性，美国脊髓损伤协会损伤分级为D级的T3截瘫患者，出现下背部和右髋部疼痛，并伴有疼痛和麻木感放射至右腿。经过详细的病史询问和体格检查，初步诊断为PS。在超声引导下向梨状肌注射4毫升2%利多卡因+1毫升倍他米松后疼痛明显缓解，从而确诊。
虽然文献中对脊髓损伤（SCI）患者上肢的压迫性神经病变和肌肉骨骼损伤导致神经病理性和肌肉骨骼疼痛已有详细描述，但关于下肢的此类情况信息有限。据我们所知，这是首例报道的SCI患者并发PS的病例。应将PS视为疼痛的一个来源，尤其是在活动自如的SCI患者中。
