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C-1494 - MR neurography of Piriformis syndrome: A Myth or reality

R. S. V. Vadapalli, R. Mulukutla, A. Abkari, S. jha, A. Vadapalli; Hyderabad/IN Type: Educational Exhibit
Area of Interests: Neuroradiology spine, Neuroradiology peripheral nerve, Musculoskeletal soft tissue
Imaging Technique: MR
Procedure: Diagnostic procedure
Special Focuses: Inflammation, Edema, Neoplasia
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Learning objectives: To elucidate the anatomy and pathophysiology and etiological scenarios of Piriformis syndrome and its imaging correlates. Clinical  Symptoms and Signs of Piriformis syndrome are illustrated. Common and uncommon pathologies of piriformis syndrome are highlighted.    

Background: Piriformis syndrome is a peripheral neuritis of the sciatic nerve caused by an abnormal condition of the piriformis muscle.1 It frequently goes unrecognized or is misdiagnosed in clinical settings. Piriformis syndrome can “masquerade” as other common somatic dysfunctions, such as intervertebral disc[...]

Findings and procedure details: Symptoms of Piriformis syndrome: Pain with sitting , standing or lying longer than 15 to 20 minutes   Pain and paraesthesia radiating from sacrum through gluteal area and down posterior aspect of thigh usually stopping above knee. Pain  Improves with ambulation and worsens with no movement[...]

Conclusion: Thia exhibit comprehensively addresses the anatomical,pathophysiological clinical features of  Piriformis syndrome with its  and MR neurographic Imaging correlates.

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References: DiGiovanna EL, Schiowitz S, Dowling DJ, eds. An Osteopathic Approach to Diagnosis and Treatment. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins;2005 .   Centers for Disease Control and Prevention. Prevalence of disabilities and associated health conditions among adults—United State[...]

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