Document Detail


Femoral neuralgia due to degenerative spinal disease. A retrospective clinical and radio-anatomical study of one hundred cases.
MedLine Citation:
PMID:  8738447     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a study of 100 patients admitted to the Grenoble Regional Teaching Hospital between July 1985 and February 1994 for femoral neuralgia due to degenerative spinal disease. A herniated disk resulting in nerve root impingement was found in 79 patients (83 herniated disks) and lumbar spinal stenosis in 21. The level of nerve root compromise was L2-L3 in eight cases, L3-L4 in 35 cases, and L4-L5 in 40 cases. Herniated disks were divided into several groups based on their location with regard to the intervertebral foramen: posterolateral herniations were entirely contained within the spinal canal (n = 12; 14.5%), whereas far lateral, or foraminal, herniations (n = 71; 85.5%) involved the intervertebral foramen. Twenty-nine foraminal herniations (34.9%) had a component located within the spinal canal (medioforaminal herniations), 33 (39.8%) were entirely contained within the foramen (pure foraminal herniations), and nine (10.8%) were located lateral to the foramen (lateroforaminal herniations). As compared with posterolateral herniations, foraminal herniations were associated with shorter symptom duration at admission (p < 0.05), a greater likelihood of nocturnal exacerbation of pain (p < 0.001) and of a positive femoral stretch test (p < 0.01), and failure of the pain to worsen during Valsalva maneuvers (p < 0.01).
Authors:
C Asquier; B Troussier; J P Chirossel; E Chardonnet; D Mouries; R Juvin; X Phelip
Related Documents :
16896337 - A case of intraroot cauda equina cavernous angioma: clinical considerations.
10578547 - Low-dose vincristine-associated bilateral vocal cord paralysis.
2218857 - Spinal extradural cavernous hemangioma.
18773677 - Primary spinal epidural ewing sarcoma: a case report and review of the literature.
19029687 - Subtle familial translocation t(11;22)(q24.2;q13.33) resulting in jacobsen syndrome and...
8338317 - Bilateral transient keratoendotheliitis associated with systemic lupus erythematosus.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revue du rhumatisme (English ed.)     Volume:  63     ISSN:  1169-8446     ISO Abbreviation:  Rev Rhum Engl Ed     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-11-07     Completed Date:  1996-11-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9313916     Medline TA:  Rev Rhum Engl Ed     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  278-84     Citation Subset:  IM    
Affiliation:
Rheumatology Department, Grenoble Teaching Hospital, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Femoral Nerve / radiography*
Humans
Intervertebral Disk Displacement / radiography*
Lumbar Vertebrae / radiography
Male
Middle Aged
Nerve Compression Syndromes / radiography*
Neuralgia / radiography*
Neurologic Examination
Spinal Nerve Roots / radiography*
Spinal Stenosis / radiography*
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Forceful epidural injections for the treatment of lumbosciatic pain with post-operative lumbar spina...
Next Document:  An update on orthotic devices for the lumbar spine based on a review of the literature.