| Femoral neuralgia due to degenerative spinal disease. A retrospective clinical and radio-anatomical study of one hundred cases. | |
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MedLine Citation:
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PMID: 8738447 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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). |
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Authors:
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C Asquier; B Troussier; J P Chirossel; E Chardonnet; D Mouries; R Juvin; X Phelip |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Revue du rhumatisme (English ed.) Volume: 63 ISSN: 1169-8446 ISO Abbreviation: Rev Rhum Engl Ed Publication Date: 1996 Apr |
Date Detail:
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Created Date: 1996-11-07 Completed Date: 1996-11-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9313916 Medline TA: Rev Rhum Engl Ed Country: FRANCE |
Other Details:
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Languages: eng Pagination: 278-84 Citation Subset: IM |
Affiliation:
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Rheumatology Department, Grenoble Teaching Hospital, France. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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
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