Document Detail

Sciatica caused by cervical and thoracic spinal cord compression.
MedLine Citation:
PMID:  10382257     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: Two case reports of sciatica that was considered to be caused by cervical and thoracic spinal cord compression. OBJECTIVES: To point out that sciatica can be an initial major symptom in patients with cervical or thoracic spinal cord lesions. SUMMARY OF BACKGROUND DATA: Usually, tract pain caused by cord compression is considered to be diffuse and does not resemble sciatica. METHODS: Medical history, physical findings, and the results of imaging studies were reviewed in one case of cervical cord tumor and one case of thoracic kyphosis. RESULTS: In both cases, sciatica was the initial and major symptom. Imaging studies showed no lesion in the lumbar spine. In one patient, a cervical dumbbell tumor was found to compress the cervical cord, and in the other the spinal cord was severely compressed at the thoracic kyphosis. The sciatica disappeared immediately after decompression surgery in both cases. CONCLUSIONS: Leg pain resembling sciatica can be caused by cord compression at the cervical and thoracic level. Thoracic kyphosis may be a causative factor in sciatica, in addition to spinal cord tumor and disc herniation, which have been reported previously.
T Ito; T Homma; S Uchiyama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  24     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-08-13     Completed Date:  1999-08-13     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1265-7     Citation Subset:  IM    
Department of Orthopedic Surgery, Niigata University School of Medicine, Japan.
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MeSH Terms
Cervical Vertebrae*
Sciatica / etiology*,  radiography
Spinal Cord Compression / complications*,  radiography
Thoracic Vertebrae*
Tomography, X-Ray Computed

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