Piriformis Syndrome: A Case Report

Year 2018, Volume: 20 Issue: 1, 87 - 91, 30.04.2018

Erdal Dilekçi

https://doi.org/10.24938/kutfd.348308

Abstract

The piriformis syndrome is
a rare neuromusculer pathology which is characterised by hip and low back pain.
It is the cause of non discogenic lumbalgia and
sciatica. Hip pain, increase in leg pain with internal rotation of the
hip, onset of sciatic nerve pain with palpation are the basic features of
piriformis sydrome. Piriformis syndrome is a very rare cause of low back pain
and can be diagnosed in order to be remembered first, then the other possible
causes should be excluded. Diagnosis is made by detailed history and careful
physical examination. Here, we aimed to draw attention to a piriformis
syndrome which presented together with L4-L5 radiculopathy in MR imaging and
misdiagnosed as lumbar herniated disc.

Keywords

Piriformis syndrome, sciatica, lumbar herniated disc

PİRİFORMİS SENDROMU: BİR OLGU SUNUMU

Abstract

Piriformis
sendromu, kalça ve bel ağrısı ile karakterize nadir görülen nöromusculer bir
patolojidir. Non diskojenik lumbalji ve siyatalji nedenidir. Kalçada ağrı, bacak
ağrısının kalçanın iç rotasyonuyla artması, palpasyonla siyatik sinir ağrısının
ortaya çıkması piriformis sendromunun temel özellikleridir.
Klinik olarak lomber disk hernisi ile sıklıkla karışabilmektedir. Piriformis
sendromu bel ağrısının çok nadir görülen bir nedeni olup, tanı konulabilmesi
için öncelikle bu hastalığın hatırlanması sonra da diğer olası sebeplerin
ekarte edilmesi gerekir. Ayrıntılı
anamnez ve dikkatli bir fizik muayene ile tanı konmaktadır. Bu yazıda, Manyetik
rezonanans (MR) görüntülemede L4-5 kök basısı olan ve yanlışlıkla lomber disk
hernisi tanısı alan bir piriformis sendrom olgusunu dikkat çekmeyi amaçladık.

Keywords

Piriformis sendromu, siyatalji, lomber disk hernisi

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