Alcock canal syndrome due to obturator internus muscle fibrosis | Zendy

Insola Angelo | Zendy; Granata Giuseppe | Zendy; Padua Luca | Zendy

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Alcock canal syndrome due to obturator internus muscle fibrosis

Author(s) -

Insola Angelo,

Granata Giuseppe,

Padua Luca

Publication year - 2010

Publication title -

muscle and nerve

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.025

H-Index - 145

eISSN - 1097-4598

pISSN - 0148-639X

DOI - 10.1002/mus.21735

Subject(s) - medicine , pudendal nerve , magnetic resonance imaging , neuropathic pain , obturator nerve , nerve compression syndrome , entrapment neuropathy , neuralgia , surgery , radiology , anesthesia , carpal tunnel syndrome

Alcock canal syndrome is a rare entrapment neuropathy of the pudendal nerve. We report a case of perineal neuralgia where pudendal nerve compression was due to fibrosis of the obturator internus muscle following an injury of the muscle. After being misdiagnosed for 2 years, the patient was diagnosed only after a combined neurophysiologic and magnetic resonance imaging (MRI) investigation. This case underlines the importance of performing focused neurophysiologic and neuroimaging studies in patients with neuropathic perineal pain in order to reach a correct diagnosis. Muscle Nerve, 2010

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