Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
PM R. 2019 Aug;11(8):895-899. doi: 10.1002/pmrj.12090. Epub 2019 Mar 28.
This is a rare case of sciatic neuropathy in a 46-year-old man secondary to an intraneural ganglion cyst from the hip joint extending upward to the lumbar plexus and the L5 nerve root. Magnetic resonance neurography showed that the joint fluid passed through a labral tear and extended rostrally along the articular branch and the peroneal portion of the sciatic nerve to near the L5 nerve root. The condition was treated by arthroscopic disruption of the joint connection to the nerve with resolution of the intraneural cyst and partial neurological recovery.
这是一例罕见的坐骨神经病变病例,发生于一位 46 岁男性,病因是髋关节内神经节囊肿,向上延伸至腰丛和 L5 神经根。磁共振神经成像显示,关节液通过盂唇撕裂处,并沿关节支和坐骨神经腓骨部分向前延伸,接近 L5 神经根。通过关节镜破坏神经连接来治疗该病症,神经内囊肿破裂,部分神经功能恢复。