Piriformis ganglion: An uncommon cause of sciatica - 18/03/16
Abstract |
Sciatica can occur due to a spinal lesion, intrapelvic tumor, diabetic neuropathy, and rarely piriformis syndrome. The causes of piriformis syndrome vary by a space-occupying lesion. A ganglionic cyst can occur in various lesions in the body but seldom around the hip joint. In addition, sciatica due to a ganglionic cyst around the hip joint has been reported in one patient in Korea who underwent surgical treatment. We experienced two cases of sciatica from a piriformis ganglionic cyst and we report the clinical characterics and progress after non-operative treatment by ultrasonography-guided aspiration. The two cases were diagnosed by magnetic resonance imaging and were treated by ultrasonography-guided aspiration. We followed the patients for more than 6months. The symptoms of piriformis syndrome from the ganglion improved following aspiration and this conservative treatment is a treatment method that can be used without extensive incision or cyst excision.
Level of evidence |
Level IV historical case.
Le texte complet de cet article est disponible en PDF.Keywords : Piriformis muscle, Ganglion, Sciatica, Interventional sonography
Plan
Vol 102 - N° 2
P. 257-260 - avril 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.