Anatomical variation of piriformis muscle as a cause of deep gluteal pain: diagnosis using MR neurography and treatment Variação anatômica do músculo piriforme como causa de dor glútea profunda: diagnóstico por neurografia RM e seu tratamento
Female patient, 42 years old with a history of low back pain on the left for seventeen years in which the definitive diagnosis of the etiology of pain was evident after the completion of neurography magnetic resonance imaging of the sciatic nerve. In this test it was identified the presence of an an...
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Veröffentlicht in: | Revista brasileira de ortopedia 2013-01, Vol.48 (1), p.114-117 |
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Zusammenfassung: | Female patient, 42 years old with a history of low back pain on the left for seventeen years in which the definitive diagnosis of the etiology of pain was evident after the completion of neurography magnetic resonance imaging of the sciatic nerve. In this test it was identified the presence of an anatomical variation in the relationship between the piriformis muscle and sciatic nerve. We discuss details of this imaging technique and its importance in the frames of refractory low back pain. We also describe the treatment given to the case.Paciente do sexo feminino, 42 anos, com histórico de lombociatalgia à esquerda havia 17 anos. O diagnóstico definitivo da etiologia da dor só foi evidenciado após a neurografia por ressonância magnética do ciático. Nesse exame identificou-se a presença de variação anatômica entre o músculo piriforme e o nervo ciático. Descrevemos detalhes sobre a técnica de imagem e sua importância nos quadros de lombociatalgia refratária, como também o tratamento instituído para o caso. |
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ISSN: | 0102-3616 1982-4378 |