Buttock Pain Secondary to Segmental Neurofibromatosis: A case report.
- Author:
Kil Byung LIM
1
;
Hai Jin PARK
;
Hong Jae LEE
;
Dug Young KIM
;
Seong Soo KIM
Author Information
1. Department of Rehabilitation Medicine, Inje University Ilsan Paik Hospital, Korea. kimss2580@hanmail.net
- Publication Type:Case Report
- Keywords:
Buttock pain;
Segmental neurofibromatosis;
Conservative treatment
- MeSH:
Buttocks;
Cafe-au-Lait Spots;
Humans;
Hypertrophy;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Neurofibroma;
Neurofibromatoses;
Physical Examination;
Shoulder;
Thigh
- From:Journal of the Korean Academy of Rehabilitation Medicine
2009;33(5):639-643
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neurofibromatosis (NF) is a dysplastic disease which consists of multiple cafe-au-lait spots and neurofibromas from neural sheath. The 61-year-old male patient complained of sudden severe pain on the left buttock started one month ago. On physical examination, multiple "lentigines" were seen on his left buttock which spreaded to the thigh and small soft protruding nodules were observed on the right side of the back and left shoulder. Histopathologic finding of a specimen obtained from a nodule was consistent with neurofibroma. Magnetic resonance imaging (MRI) and ultrasonography revealed asymmetrical hypertrophy of neurovascular bundle located in the left greater sciatic foramen. On diagnosing as NF, he was treated with medication, physical modalities and therapeutic intervention (caudal block). Visual analogue scale (VAS) went down to 3/10 with these treatments and he was discharged. We report successful treatment of buttock pain rarely associated with segmental neurofibromatosis.
