Phlebologie 2014; 43(06): 303-307
DOI: 10.12687/phleb2223-6-2014
Review Article
Schattauer GmbH

Neurogenic claudication

Article in several languages: English | deutsch
A. Mehrkens
1   Spinale Chirurgie, Universitätsspital Basel/Switzerland
,
B. Jeanneret
1   Spinale Chirurgie, Universitätsspital Basel/Switzerland
› Author Affiliations
Further Information

Publication History

Received: 22 July 2014

Accepted: 12 August 2014

Publication Date:
04 January 2018 (online)

Summary

Neurogenic claudication is a cardinal symptom of lumbar spinal stenosis and an important and frequent differential diagnosis in reported “leg pain”. Whereas findings are often relatively normal on clinical examination, a detailed anamnesis can frequently lead to the correct (suspected) diagnosis, which is subsequently confirmed by magnetic resonance imaging or CT myelography. In the absence of any relevant neurological deficits, conservative treatment with anal-gesia, peridural cortisone injections and physiotherapy can initially be attempted. If conservative treatment fails or neurological deficits occur, most patients benefit from surgical decompression of the spinal canal, with additional stabilisation if appropriate.

 
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