Piriformis Syndrome: A Case Report

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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