Extraspinal Causes of Sciatica
| Autor: | Bouchier-Hayes D, O'Farrell D, Dudeney S, Byrne J |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Physical examination Asymptomatic Pelvis Sciatica Aneurysm medicine.artery medicine Humans Orthopedics and Sports Medicine Physical Examination medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Internal iliac artery nervous system diseases Surgery Etiology Neurology (clinical) Radiology medicine.symptom Differential diagnosis Tomography X-Ray Computed business |
| Zdroj: | Spine. 23:494-496 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/00007632-199802150-00018 |
| Popis: | Study Design. A case of intrapelvic aneurysm is reported. It is as an example of one of the many extraspinal causes of sciatica. Objective. To demonstrate the importance of clinical examination in the assessment of patients with sciatica, despite continuing improvements in methods for imaging the spine. Summary of Background Data. Extraspinal conditions cause sciatica in a rare but recognized group of patients. Their clinical symptoms can be very similar to those of patients with sciatica from lumbar disc protrusion. Methods. The clinical appearance, investigation, and treatment of a patient with an internal iliac artery aneurysm causing sciatica are discussed. Results. Surgical treatment of the patient's aneurysm resulted in relief of the symptoms of sciatica. Conclusions. Although these cases are unusual in isolation, together they represent an important group. When a patient has sciatica, the clinician looks first to the spine for the origin of symptoms, Extraspinal causes are often not considered in the differential diagnosis. This oversight may be compounded by observation of asymptomatic disc protrusions on computed tomographic and magnetic resonance studies. The importance of clinical history and examination in the diagnosis of these lesions cannot be overemphasized. |
| Databáze: | OpenAIRE |
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