Symptomatic piriformis muscle asymmetry

Case contributed by Dr Roberto Schubert

Presentation

Sciatica-like pain radiating down the back of the left thigh, worse when sitting. No explanatory causes on lumbar spinal MRI.

Patient Data

Age: 55
Gender: Female
Modality: MRI

The left piriformis muscle is more prominent than the right, especially at its lower border, where there seems to be an additional fascicle exiting through the sciatic notch.

Case Discussion

Piriformis syndrome is an ill-defined condition relating to entrapment of the sciatic nerve caused by hypertrophy, swelling, spasm or accessory muscle bellies of the piriformis within the sciatic notch. It is primarily a diagnosis of exclusion. MRI may help to show the aforementioned changes.

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Case Information

rID: 29376
Case created: 20th May 2014
Last edited: 9th Oct 2015
Inclusion in quiz mode: Included

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