Buttock Pain Secondary to Segmental Neurofibromatosis: A case report.

, Lim, Kil Byung; , Park, Hai Jin; , Lee, Hong Jae; , Kim, Dug Young; , Kim, Seong Soo

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(5):639-643.

Lim, Kil Byung , Park, Hai Jin , Lee, Hong Jae , Kim, Dug Young , Kim, Seong Soo

¹Department of Rehabilitation Medicine, Inje University Ilsan Paik Hospital, Korea. kimss2580@hanmail.net
²Department of Dermatology, Inje University Ilsan Paik Hospital, Korea.

분절상 신경섬유종증에 의한 둔부통증-증례 보고-

임길병, 박혜진1, 이홍재, 김덕영, 김성수

인제대학교 일산백병원 재활의학과, 1피부과

Abstract

Neurofibromatosis (NF) is a dysplastic disease which consists of multiple café-au-lait spots and neurofibromas from neural sheath. The 61-year-old male patient complained of sudden severe pain on the left buttock started one month ago. On physical examination, multiple "lentigines" were seen on his left buttock which spreaded to the thigh and small soft protruding nodules were observed on the right side of the back and left shoulder. Histopathologic finding of a specimen obtained from a nodule was consistent with neurofibroma. Magnetic resonance imaging (MRI) and ultrasonography revealed asymmetrical hypertrophy of neurovascular bundle located in the left greater sciatic foramen. On diagnosing as NF, he was treated with medication, physical modalities and therapeutic intervention (caudal block). Visual analogue scale (VAS) went down to 3/10 with these treatments and he was discharged. We report successful treatment of buttock pain rarely associated with segmental neurofibromatosis. (J Korean Acad Rehab Med 2009; 33: 639-643)

Key Words: Buttock pain, Segmental neurofibromatosis, Conservative treatment