Piriformis syndrome presenting with foot drop diagnosed with magnetic resonance imaging: A case report


AYDEMİR K., Duman I., Tugcu I., Ozgul A.

Journal of Musculoskeletal Pain, cilt.18, sa.3, ss.261-264, 2010 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 18 Sayı: 3
  • Basım Tarihi: 2010
  • Doi Numarası: 10.3109/10582452.2010.502616
  • Dergi Adı: Journal of Musculoskeletal Pain
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.261-264
  • Anahtar Kelimeler: Foot drop, piriformis syndrome, sciatalgia, pain
  • Sağlık Bilimleri Üniversitesi Adresli: Hayır

Özet

Background: In piriformis syndrome, the main symptom is pain. Foot drop is not typical and radiological evaluations are usually normal. Findings: A 35-year-old woman was presented with intense pain in the lower limb. She had foot drop and Laseque's sign was positive at 30 degrees. Pelvic magnetic resonance imaging showed hypertrophy of the piriformis muscle and perineural edema of the sciatic nerve on T2-weighted images. Fluoroscopy guided local corticosteroid injection to the piriformis muscle and around the nerve provided complete pain relief and motor recovery. Conclusions: Piriformis syndrome can cause foot drop. Magnetic resonace imaging can help earlier diagnosis and treatment. © 2010 by Informa Healthcare USA, Inc. All rights reserved.