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JDRS · Open access journal

Case Report · Open access

Ultrasound-guided nerve hydrodissection for sciatic neuropathy caused by piriformis rhabdomyolysis: A case report

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Gi Young Park

Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, South Korea

ORCID: 0000-0003-0056-1556

Jae Ik Jung

Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, South Korea

ORCID: 0009-0007-6932-8177

Kang Lip Kim

Department of Rehabilitation Medicine, Daegu Health College Hospital, Daegu, South Korea

ORCID: 0000-0001-9148-292X

Abstract

Peripheral entrapment neuropathy is a rare complication of rhabdomyolysis and lacks successful treatment. In this article, we report a case of sciatic neuropathy caused by piriformis rhabdomyolysis which was successfully treated with ultrasoundguided sciatic nerve hydrodissection. A 27-year-old male patient with left buttock pain and left lower limb weakness received ultrasound-guided nerve hydrodissection via injection of dexamethasone and 5% dextrose water into the area surrounding the left sciatic nerve. After injection, the patient’s pain and left lower extremity weakness subsided. In conclusion, although peripheral entrapment neuropathy due to rhabdomyolysis is rare, early diagnosis and treatment using ultrasound-guided nerve hydrodissection may yield favorable clinical outcomes.

Declarations

Author Contributions

Case preparation and data collection were performed by: G.Y.P., J.I.J., K.L.K.; The first draft of the manuscript was written by: G.Y.P., J.I.J.; Conception and design of case report was performed by: J.I.J. All authors contributed to the critical review of the manuscript. All of the authors have read and approved the final version of the manuscript.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.

Data Sharing Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.