Focal Myositis of the Calf following S1 Radiculopathy

Gross, Raphaël; Degive, Céline; Dernis, Emmanuelle; Plat, M.; Dubourg, Odile; Puéchal, Xavier

doi:10.1016/j.semarthrit.2007.09.004

Cited by 24 publications

(14 citation statements)

References 34 publications

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“…7 Gross et al reported unilateral calf swelling associated with symptomatic LDH of the L5-S1 vertebrae in which increased CPK levels and muscle biopsy findings were in accordance with S1 radiculopathy-associated inflammatory myopathy/ myositis. 8 This condition has also been reported with L5 radiculopathy. 9 Yet, there were essential differences in the current case which eliminated similar diagnoses.…”

Section: Discussionmentioning

confidence: 71%

“…1,4 Moreover, an association has never been reported with lower limb oedema, although there are some reports of LDH cases presenting with swollen calves. [6][7][8][9] Khan et al reported a patient with a swollen calf who was diagnosed with LDH of the L5-S1 intervertebral disc after deep vein thrombosis and a local tumour were ruled out; electromyography and a muscle biopsy indicated inflammatory myopathy, suggesting a diagnosis of radiculopathy/calf hypertrophy syndrome. 6 A similar case attributed to radiculopathy/calf hypertrophy syndrome has also been described.…”

Section: Discussionmentioning

confidence: 99%

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Pitting Oedema in a Patient with Lumbar Disc Herniation: Case report of an unusual association

Sadeghian

Motiei-Langroudi

2018

Sultan Qaboos Univ Med J

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Oedema refers to the excessive accumulation of fluid within intercellular tissues as a result of disequilibrium between the capillary hydrostatic and oncotic pressure gradients. Lumbar disc herniation (LDH) commonly causes lower back pain and radicular leg pain. We report a 57-year-old female who presented to the neurosurgery clinic of the Bam University of Medical Sciences, Bam, Iran, in 2015 with pain and pitting oedema in the bilateral lower extremities. Magnetic resonance imaging confirmed a diagnosis of LDH of the L3-L4 and L4-L5 vertebrae. The patient subsequently underwent a bilateral laminotomy and foraminotomy of the involved vertebrae to relieve her pain. Following the surgery, there was a complete resolution of the LDH-related symptoms as well as the oedema. Although LDH has never before been associated with oedema, it may nevertheless cause lower limb oedema in exceptional and rare cases, as highlighted in this patient.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Pitting Oedema in a Patient with Lumbar Disc Herniation: Case report of an unusual association

Sadeghian

Motiei-Langroudi

2018

Sultan Qaboos Univ Med J

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“…Surgical laminectomies had no effect in reducing calf enlargement 7. Six patients, including our patient, were treated with prednisone or prednisolone at a dose of 15–45 mg/day 1–3 5. After the start of the treatment, calf hypertrophy regression was achieved in four cases (66.7%).…”

Section: Discussionmentioning

confidence: 88%

Unilateral calf hypertrophy and focal myositis induced by S1 radiculopathy: dramatic response to steroid treatment

et al. 2013

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SUMMARYUnilateral enlargement of the calf in a 57-year-old man with S1 radiculopathy is described in this case report. Short tau inversion recovery-weighted imaging provided evidence of selective hypertrophy and a high signal intensity of the gastrocnemius and soleus. Histopathological analysis of the gastrocnemius revealed an endomysial inflammatory infiltrate and marked denervation lesions. Marked signs of denervation are suggestive of focal myositis secondary to neurogenic damage. The patient was treated with an oral corticosteroid (30 mg/day) and the calf hypertrophy was dramatically reduced within 5 weeks. Our case indicates that steroid therapy should be tried because it may be a potentially treatable disease. BACKGROUND

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“…Toti 12 tried PCR looking for EBV, herpes simplex virus types 1 and 2, and cytomegalovirus, but had negative results. Patients with focal myositis of the calf associated with chronic S1 radiculopathy were reported 13 . Moreover a focal myositis was reported in a woman during pregnancy 14 .…”

Section: Discussionmentioning

confidence: 99%

Focal Myositis in paediatric age

Gigante

Corradin

Alaggio

2019

Muscle Ligaments and Tendons J

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Background: Focal Myositis is a rare pseudotumor of unknown aetiology that is often difficult to diagnose and treat. Typically afflicting people in adulthood, it has occasionally been reported also among children. Purpose: the aim of this study is to review the literature of Focal Myositis in paediatric age in order to compare the clinical manifestation and the various treatment suggested by different authors. Methods: this article describes a 6-year-old boy with focal myositis in gracilis muscle successfully treated by conservative methods, including nocturnal leg traction, intensive physiokinesi therapy and articulated knee orthosis guided to progressive extension. Furthermore a systematic review of literature concerning focal myositis in paediatric age is reported. Conclusion: our case and the review of literature suggests that conservative methods should be the first-choice treatment for FM in paediatric age and that surgery should be strictly reserved for selected cases where non-invasive methods have previously failed.

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Focal Myositis of the Calf following S1 Radiculopathy

Cited by 24 publications

References 34 publications

Pitting Oedema in a Patient with Lumbar Disc Herniation: Case report of an unusual association

Pitting Oedema in a Patient with Lumbar Disc Herniation: Case report of an unusual association

Unilateral calf hypertrophy and focal myositis induced by S1 radiculopathy: dramatic response to steroid treatment

Focal Myositis in paediatric age

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