Augustin P, Daluzeau N, Dujardin M, Clement O, Denis P
Rev Neurol (Paris). 1984;140(6-7):443-5.
A patient developed a hematoma of the pyramidal muscle as a complication of anticoagulant treatment. The lesion provoked an entrapment neuropathy due to the compression between the muscle and the iliac spine of the great sciatic, inferior gluteal and pudendal nerves. Hyperalgic paralysis of the leg and buttock was associated with bladder sphincter disorders and impotence, a remarkable finding in view of the unilateral disturbance in nervous control. Pain, and urinary and sexual disorders were reversed dramatically by an early neurolysis. A CT scan enables the identification of the lesion.
一名患者在接受抗凝治疗时出现了锥状肌血肿，这是一种并发症。由于该肌肉与坐骨大神经、臀下神经和阴部神经的髂嵴之间的压迫，该病变引发了卡压性神经病变。腿部和臀部的痛性麻痹与膀胱括约肌紊乱和阳痿相关，鉴于神经控制的单侧性紊乱，这是一个显著的发现。早期神经松解术使疼痛以及泌尿和性功能障碍得到了显著缓解。CT扫描能够识别该病变。
