Ultrasound-guided sciatic nerve block in a patient with sciatic neuropathy associated with uterine myoma: a case report
- Author:
Bo Kyung KANG
1
;
Min Hyouk BEAK
;
Won-joong KIM
Author Information
- Publication Type:Case Report
- From:The Ewha Medical Journal 2024;47(2):e30-
- CountryRepublic of Korea
- Language:English
- Abstract: Although sciatica is commonly associated with lumbar spinal issues, it is important to acknowledge that non-spinal factors can also play a significant role in this condition. This is particularly relevant for female patients, in whom gynecologic conditions can lead to secondary sciatic neuropathy. Herein, we report the case of a 66-year-old woman who experienced posterolateral right lower extremity radiating pain. We initially performed a lumbar transforaminal epidural steroid injection, but the pain persisted.Subsequently, hip MRI revealed sciatic neuropathy adjacent to the pedunculated portions of a uterine myoma. We then performed a sub-gluteal sciatic nerve block under ultrasound guidance, resulting in significant relief of her pain. In conclusion, hip MRI can be helpful for the differential diagnosis of sciatica, and ultrasound-guided sciatic nerve block can be considered an appropriate and effective treatment option.
