The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Post-radiation Piriformis Syndrome in a Cervical Cancer Patient -A Case Report-

  • Jeon, Sang-Yoon (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Moon, Ho-Sik (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Han, Yun-Jung (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Sung, Choon-Ho (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
  • Received : 2009.11.04
  • Accepted : 2009.12.22
  • Published : 2010.03.01
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Abstract

The piriformis syndrome is a condition allegedly attributable to compression of the sciatic nerve by the piriformis muscle. Recently, magnetic resonance neurography and electrophysiologic study have helped to diagnose piriformis syndrome. High dose radiotherapy could induce acute and delayed muscle damage. We had experienced piriformis syndrome with fatty atrophy of piriformis muscle after radiotherapy for recurrent cervical cancer.

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References

  1. Kirschner JS, Foye PM, Cole JL. Piriformis syndrome, diagnosis and treatment. Muscle Nerve 2009; 40: 10-8. https://doi.org/10.1002/mus.21318
  2. Rossi P, Cardinali P, Serrao M, Parisi L, Bianco F, De Bac S. Magnetic resonance imaging findings in piriformis syndrome: a case report. Arch Phys Med Rehabil 2001; 82: 519-21. https://doi.org/10.1053/apmr.2001.21971
  3. Gillette EL, Mahler PA, Powers BE, Gillette SM, Vujaskovic Z. Late radiation injury to muscle and peripheral nerves. Int J Radiat Oncol Biol Phys 1995; 31: 1309-18. https://doi.org/10.1016/0360-3016(94)00422-H
  4. Lewis AM, Layzer R, Engstrom JW, Barbaro NM, Chin CT. Magnetic resonance neurography in extraspinal sciatica. Arch Neurol 2006; 63: 1469-72. https://doi.org/10.1001/archneur.63.10.1469
  5. Filler AG, Haynes J, Jordan SE, Prager J, Villablanca JP, Farahani K, et al. Sciatica of nondisc origin and piriformis syndrome: diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment. J Neurosurg Spine 2005; 2: 99-115. https://doi.org/10.3171/spi.2005.2.2.0099
  6. Chang CW, Shieh SF, Li CM, Wu WT, Chang KF. Measurement of motor nerve conduction velocity of the sciatic nerve in patients with piriformis syndrome: a magnetic stimulation study. Arch Phys Med Rehabil 2006; 87: 1371-5. https://doi.org/10.1016/j.apmr.2006.07.258
  7. Saphner T, Gallion HH, Van Nagell JR, Kryscio R, Patchell RA. Neurologic complications of cervical cancer. A review of 2261 cases. Cancer 1989; 64: 1147-51. https://doi.org/10.1002/1097-0142(19890901)64:5<1147::AID-CNCR2820640530>3.0.CO;2-1
  8. Kim JW, Lee PB, Park CD, Choi SJ, Choi JB, Moon JY. Ultrasound-guided sciatic nerve block for the treatment of radiation therapy induced sciatic neuritis: a case report. Korean J Pain 2009; 22: 186-90. https://doi.org/10.3344/kjp.2009.22.2.186
  9. Abu-Rustum NR, Rajbhandari D, Glusman S, Massad LS. Acute lower extremity paralysis following radiation therapy for cervical cancer. Gynecol Oncol 1999; 75: 152-4. https://doi.org/10.1006/gyno.1999.5561
  10. Russell JM, Kransdorf MJ, Bancroft LW, Peterson JJ, Berquist TH, Bridges MD. Magnetic resonance imaging of the sacral plexus and piriformis muscles. Skeletal Radiol 2008; 37: 709-13. https://doi.org/10.1007/s00256-008-0486-8

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