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Journals / Journal of Clinical and Analytical Medicine / 2013 / Cilt: 4 - Sayı: 6

Bilgisayarlı Tomografi ve/veya Manyetik Rezonans Görüntüleri Kullanarak Travma Dışı Ekstraspinal Siyatikanın Sıklık ve Etiyolojik Dağılımının Değerlendirilmesi

Evaluation of the Incidence and Etiological Distribution of Extraspinal Non-Traumatic Sciatica Using Computed Tomography and/or Magnetic Resonance Imaging

Mehmet Fethi CEYLAN
Tarkan ERGUN
Hatice LAKADAMYALI
Gokhan CAKMAK
Mehmet Sukru SAHİN
Pages
466–470
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, other rare extraspinal pathologies should also be keptin mind.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To present 27 cases with non-traumatic extraspinal sciatica by means ofcomputerized tomography (CT) and magnetic resonance imaging (MRI) andto investigate the frequency and etiological distribution of non-traumatic ex- traspinal sciatica.
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Key Findings & Data:Results: Pathology affecting thesciatic nerve was detected in 27 patients. 14 of the patients were female,13 were male; average age was 53 (18 - 91).
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Conclusion & Impact:However, other rare extraspinal pathologies should also be keptin mind.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: To present 27 cases with non-traumatic extraspinal sciatica by means ofcomputerized tomography (CT) and magnetic resonance imaging (MRI) andto investigate the frequency and etiological distribution of non-traumatic ex- traspinal sciatica. Material and Method: CT and MRI surveys of patients withsciatica complaints were evaluated retrospectively. Patients with pathologywhich might have caused sciatica were included in the study. Final diagnosticclinical findings were concluded with CT-MRI images and histopathologicalexamination. Intraspinal (discogenic, facet arthropathy, etc.) and traumaticsciatica cases were excluded from the study. Results: Pathology affecting thesciatic nerve was detected in 27 patients. 14 of the patients were female,13 were male; average age was 53 (18 - 91). The most frequent pathologywas sacroiliitis (n = 9). It was detected that 7 cases had malignant tumor, 5cases had benign tumor, 3 cases had piriformis syndrome, 1 case had arteriovenous malformation, 1 case had gluteal abscess, and 1 case had obturator artery aneurysm. Discussion: Sacroiliitis is the most frequent cause ofextraspinal non-traumatic sciatica. In accordance with the clinical findings,primarily the sacroiliac joint should be assessed in patients without a spinalpathology. However, other rare extraspinal pathologies should also be keptin mind.

Özet

Amaç: Bilgisayarlı tomografi (BT) ve manyetik rezonans görüntüleme de (MRG) travma dışı ekstraspinal siyatika tespit edilen yirmi yedi vakay sunmak ve travma dışı ekstraspinal siyatikanın sıklık ve etiyolojik dağılımı nı araştırmaktır. Gereç ve Yöntem: Siyatika şikayeti bulunan hastaların BT ve MRG tetkikleri retrospektif olarak değerlendirildi. Siyatikaya neden olabile cek patolojisi olan hastalar çalışma kapsamına alındı. Son tanı klinik bulgu lar, BT - MRG bulguları ve histopatolojik inceleme ile konuldu. İntraspinal (dis kojenik, faset artropati, vb.) ve travmatik siyatika olguları çalışma dışı tutul du. Bulgular : 27 hastada siyatik siniri etkileyen patoloji saptandı. Çalışmada 14 kadın 13 erkek hasta yer aldı. Ortalama yaşları 53 (17 - 91)tü. En sık sap tanan patoloji sakroileit (n = 9) idi. 7 olguda kötü huylu tümör, 3 olguda pri formis sendromu, 5 olguda iyi huylu tümör, 1 olguda arteriyovenöz malfor masyon, 1 olguda gluteal abse ve 1 olguda obturator arter anevrizması tespit edildi. Tartışma: Sakroileit ekstraspinal nontravmatik siyatikanın en sık nede nidir. Spinal bir patolojisi tespit edilmeyen hastalarda klinik bulgularla uyum lu olarak öncelikle sakroiliak eklem değerlendirilmelidir. Ancak diğer nadir gö rülen ekstraspinal patolojilerde akılda tutulmalıdır.

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Cite This Article

CEYLAN, M. F., ERGUN, T., LAKADAMYALI, H., CAKMAK, G., SAHİN, M. S. (2022). Bilgisayarlı Tomografi ve/veya Manyetik Rezonans Görüntüleri Kullanarak Travma Dışı Ekstraspinal Siyatikanın Sıklık ve Etiyolojik Dağılımının Değerlendirilmesi. Journal of Clinical and Analytical Medicine, Cilt: 4 - Sayı: 6, 466–470. https://ajindex.com/articles/561583

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References (17)

  1. Fishman LM, Dombi GW, Michaelsen C, Ringel S, Rozbruch J, Rosner B, et al. Piriformis Syndrome: diagnosis,treatment, and outcome-a 10-Year Study. Arch Phys Med Rehabil 2002;83(3):295-301
  2. Bickels C, Kahanovitz N, Rubert CK, Henshaw RM, Moss DP, Meller I, et al. Extraspinal bone and soft-tissue tumors as a cause of sciatica. Spine 1999;24(15):1611-6
  3. Dudeney S, O’Farrell D, Bouchier-Hayes D, Byrne J. Extraspinal causes of sci-atica: a case report. Spine 1998; 23 (4): 494–6
  4. Takata K, Takahashi K. Cyclic Sciatica. Spine 1994(1);19:89-90
  5. Kleiner JB, Donaldson FW, Curd JG, Thorne RP Extraspinal causes of lumbosacral radiculopathy. Journal of bone and Joint Surgery 1991;73(6): 817-21
  6. Kulcu DG, Naderi S. Differential diagnosis of intraspinal and extraspinal non- discogenic sciatica. Journal of Clinical Neuroscience 2008;15(11):1246–52
  7. Lin HL, Chen JT, Liu YF, Cho DY. Sciatica caused by pseudomyxoma peritonei. J Chin Med Assoc 2009;72(1):39-41
  8. Dosani A, Giannoudis PV, Waseem M, Hinsche A, Simith MR. Unusual presentation of sciatica in a 14-year-old girl. Injury 2004;35(10):1071-2
  9. Synek VM. The priformis syndrome: review and case presentation. Clin Exp Neurol.1987;23: 31–7
  10. Hopayian K, Song F, Riera R, Sambandan S. The clinical features of the priformis syndrome: a systematic review. Eur Spine J 2010;19 (12):2095-109
  11. Lewis AM, Layzer R, Engstrom JW, Barbaro NM, Chin CT. Magnetic resonance neurography in extraspinal sciatica. Arch Neurol 2006; 63 (10):1469–72
  12. Herr OH, Williams JC: Supralevator anorectal abscess presenting as acute low back pain and sciatica. Ann Emerg Med January 1994;23 (1):132-5
  13. Parziale JR, Hudgins TH, Fishman LM.The PS. Am J Orthop.1996;25(12):819–23
  14. Ozaki S, Hamabe T, Muro T. Piriformis syndrome resulting from an anomalous relationship between the sciatic nerve and piriformis muscle. Orthopedics 1999;22 (8):771–2
  15. Graaff R, Biemans RG, Prevo RL, Koch PW. Sciatic nerve compression by an aneurysm of the internal iliac artery. Clin Neurol Neurosurg. 1985;87(3):219-22
  16. 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 neu- rography and interventional magnetic resonance imaging with outcome study of resulting treatment. J Neurosurg Spine 2005;2(2):99–115
  17. Fishman LM, Zybert PA. Electrophysiologic evidence of Piriformis syndrome. Arch Phys Med Rehabil. 1992; 73 (4): 359–64.