Superior cluneal nerve entrapment neuropathy due to lower crossed syndrome: A case with low back pain
Abstract
The superior cluneal nerve (SCN) is a sensory nerve known to be originated from the dorsal rami of the lower thoracic and lumbar nerve roots. One of the overlooked causes of low back pain (LBP) is the SCN Entrapment Neuropathy (SCNEN). SCNEN may also be associated with SCN stretching due to lumbar movement and the poor body posture through an increase in the paravertebral muscle tonus. A 59-year-old female patient presented with chronic LBP localized on the right iliac crest and radiating to the right buttock, groin, and leg. She had increased lumbar lordosis and anterior pelvic tilt. She had a tender point over the right iliac crest, and the pain was radiating to the buttock and posterolateral thigh (Tinel sign +). She was diagnosed with lower crossed syndrome and SCNEN, and a therapeutic nerve block was performed. Clinicians should consider SCNEN as a possible diagnosis of LBP. Süperior kluneal sinir (SKS), alt torasik ve lomber sinir köklerinin dorsal ramusundan köken alan bir duyusal sinirdir. Bel ağrısının gözden kaçan nedenlerinden biri SKS tuzaklanma nöropatisidir. SKS tuzaklanma nöropatisi, bel hareketleri ve paravertebral kas tonus artışı sebebiyle oluşan kötü vücut postürüne bağlı SKS gerilmesi ile de ilişkilendirilebilir. Elli dokuz yaşında kadın
hasta sağ iliyak kreste lokalize olan ve sağ kalça, kasık ve bacağa yayılan kronik bel ağrısıyla başvurdu. Hastanın lomber lordozu
artmıştı ve anterior pelvik tilti mevcuttu. Sağ iliyak krest üzerinde hassas nokta vardı ve ağrı kalça ve posterolateral uyluğa
yayılıyordu (tinel bulgusu +). Hastaya alt çapraz sendrom ve SKS tuzaklanma nöropatisi tanısı konuldu ve terapötik sinir bloku
yapıldı. Klinisyenler bel ağrısı tanısında SKS tuzaklanma nöropatisini göz önünde bulundurmalıdırlar.
Source
AgriVolume
34Issue
4URI
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