Amyloid Deposition: An Unusual Case of Deep Gluteal Syndrome and Sciatic Nerve Compression: A Case Report. Issue 3 (13th July 2022)

• Record Type: Journal Article
• Authors: Parikh, Harin B.; Matcuk, George R.; Leong, Matthew; Vrahas, Mark S.; Seruya, Mitchel
• Is Part Of: JBJS case connector. Volume 12:Issue 3(2022)
• Publication Date: 2022-07-13
• Subjects: amyloidosis -- amyloidoma -- sciatica -- piriformis syndrome -- deep gluteal syndrome -- kocher-langenbeck approach -- peripheral nerve disease -- piriformis tenotomy; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.22.00075
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Soft-tissue amyloidomas are exceedingly rare, with only a few cases reported in the literature. There are no reports of sciatic nerve compression secondary to a soft-tissue amyloidoma. We report a unique case of a 71-year-old man with an incidentally found amyloidoma who was initially believed to have deep gluteal syndrome. He had a favorable outcome after surgical decompression. Conclusion: For patients who do not have classic examination and electromyography/nerve conduction findings of piriformis syndrome, providers should explore other etiologies of peripheral nerve compression including soft-tissue amyloidoma.