Buradasınız

Anasayfa » Content

A rare case of bilateral high division of sciatic nerve with unilateral bifid piriformis and its clinical implications

Journal Name:

  • Indian Journal of Basic & Applied Medical Research

Publication Year:

  • 2014

Key Words:

Author Name
Abstract (2. Language): 
Sciatic nerve shows many variations in its division, especially its high division. This variation (high division of sciatic nerve) may results in sciatica, nerve injury during deep intramuscular injections in gluteal region, piriformis syndrome, and failed sciatic nerve block in anaesthesia. A very unusual case of two different types of high divisions of sciatic nerve on either side of an adult male cadaver with unilateral divided piriformis muscle was encountered during routine dissection is presented herewith, along with some proposition in available classifications. Knowledge of these variations in course of sciatic nerve may help surgeons and all those who concerns to avoid complication and plan their intervention in a better and more effective way.
Bookmark/Search this post with
FULL TEXT (PDF): 
PDF icon arastirmax-rare-case-bilateral-high-division-sciatic-nerve-unilateral-bifid-piriformis-and-its-clinical-implications.pdf
  • 1
130
134
  • English

REFERENCES

References: 

1. Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE et al. Gray's Anatomy. 38th ed.
Edinburgh: Churchill Livingstone; 1995. p. 1284.
2. Babinski MA, Machado FA, Costa WS. A rare variation in the high division of the sciatic nerve
surrounding the superior gemellus muscle. Eur J Morphol 2003;41:41-2.
3. Demiryurek D, Bayramoglu A, Erbil M, Aldur MM, Mustafa ES. Bilateral divided piriformis muscle
together with the high division of the sciatic nerve. Gazi Med J 2002;13:41-4
4. Smoll NR. Variations of the piriformis and sciatic nerve with clinical consequence: a review. Clin Anat
2010; 23: 8–17.
5. Gonzalez P, Pepper M, Sullivan W, Akuthota V. Confirmation of needle placement within the piriformis
of a cadaveric specimen using anatomic landmarks and fluoroscopic guidance. Pain Physician 2008; 11:
327–331.
6. Khan YS, Khan TK: A rare case of bilateral high division of sciatic nerve (of different types) with
unilateral divided piriformis and unusual high origin of genicular branch of common fibular nerve. IJAV
2011;4:63–6.
7.Guvencer M, Iyem C, Akyer P, Tetik S, Naderi S. Variations in the high division of the sciatic nerve and
relationship between the sciatic nerve and the piriformis. Turk Neurosurg 2009;19:139–144.
8.Okraszewska E, Migdalski L, Jedrzejewski KS, Bolanowski W. Sciatic nerve variations in some studies on
the Polish population and its statistical significance. Folia Morphol (Warsz) 2002;61(4):277-82
9. Machado FA, Babinski MA, Brasil FB, Favorito LA, Abidu-Figueiredo M, Costa MG. Anatomical
variations between sciatic nerve and piriform muscle during fetal period in human. Int J Morphol
2003;21:29-35.
10. Ugrenovic S, Jovanovic I, Krstic V, Stojanovic V, Vasovic L, Antic S et al. The level of the sciatic nerve
division and its relations to the piriform muscle. Vojnosanit Pregl 2005;62:45–9.
133
3
Indian Journal of Basic and Applied Medical Research; December 2014: Vol.-4, Issue- 1, P. 130-134
132
www.ijbamr.com P ISSN: 2250-284X , E ISSN : 2250-2858
11. Jawish RM, Assoum HA, Khamis CF. Anatomical, clinical and electrical observations in piriformis
syndrome. J Orthop Surg Res 2010;5:3.
12. Arifoglu Y, Surucu HS, Sargon MF, Tanyeli E, Yazar F. Double superior gemellus together with double
piriformis and high division of sciatic nerve. Surg Radiol Anat 1997;19:407-8.
13. Mas N, Ozeksi P, Ozdemir B, Kapakin S, Sargon MF, Celik HH et al. A case of bilateral high division of
the sciatic nerves, together with a unilateral unusual course of the tibial nerve. Neuroanatomy 2003;2:13–5.

Thank you for copying data from http://www.arastirmax.com