台灣外科醫學會雜誌

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	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
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篇名	Sciatic Neuropathy Caused by Focal Myositis:Report of a Case
作者	Chou-Li Chiang, Fang-Yuh Hsieh
卷期/出版年月	39卷2期 (2006/4)
頁次	89-94
摘要	We report a case of muscle cramp-induced aseptic inflammatory reaction of gluteal muscles presenting with sciatic neuropathy. A 47-year-old male was admitted from ER for abruptly onset of severe right leg cramping pain. Physical examination revealed an exquisitely tender, localized, and firm mass in the right buttock. Injection of xylocaine was performed at the midpoint of the mass. The pain faded over the next few hours. We re-examed the patient after the pain episode subsided. The firm mass disappeared promptly. He had nearly no foot movement on involved site. Electrophysiological studies disclosed denervated change in gluteal muscles and sciatic neuropathy below the right sciatic notch. A review of the literature in respect of pathogenesis and treatment of muscle cramps and sciatic neuropathy was made. We assumed that the neuropathy was an ischemic sequela after persistent muscle cramps. Where there was no further deterioration in neuropathy, a watch-and-wait policy appeared to be a valid initial therapeutic option. The patient gradually recovered from the insult 5 months later.
關鍵詞	myositis, sciatic neuropathy, muscle cramps
分類	Case Report