Ultrasound-guided sciatic nerve block in a patient with sciatic neuropathy associated with uterine myoma: a case report
Although sciatica is commonly associated with lumbar spinal issues, it is important to acknowledge that non-spinal factors can also play a significant role in this condition. This is particularly relevant for female patients, in whom gyneco...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ewha Womans University College of Medicine
2024-04-01
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| Series: | The Ewha Medical Journal |
| Subjects: | |
| Online Access: | http://www.e-emj.org/archive/view_article?pid=emj-47-2-30 |
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| Summary: | Although sciatica is commonly associated with lumbar spinal issues, it is
important to acknowledge that non-spinal factors can also play a significant
role in this condition. This is particularly relevant for female patients, in
whom gynecologic conditions can lead to secondary sciatic neuropathy. Herein, we
report the case of a 66-year-old woman who experienced posterolateral right
lower extremity radiating pain. We initially performed a lumbar transforaminal
epidural steroid injection, but the pain persisted. Subsequently, hip MRI
revealed sciatic neuropathy adjacent to the pedunculated portions of a uterine
myoma. We then performed a sub-gluteal sciatic nerve block under ultrasound
guidance, resulting in significant relief of her pain. In conclusion, hip MRI
can be helpful for the differential diagnosis of sciatica, and ultrasound-guided
sciatic nerve block can be considered an appropriate and effective treatment
option. |
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| ISSN: | 2234-2591 |