Peer-Reviewed Journal Details
Mandatory Fields
Maher, M,Hehir, DJ,Neary, P,Hinchion, J,ODonnell, JA;
1996
April
Irish Journal of Medical Science
Spinal claudication versus arterial claudication
Validated
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Optional Fields
INTERMITTENT CLAUDICATION DISEASE TESTS
165
118
120
Ninety-three consecutive treadmill exercise stress tests were performed for the assessment of peripheral vascular function, Thirty-one were for atypical claudication-like symptoms including pain on standing, relief on sitting and back pain, Pedal pulses were palpable in 24 patients, Twenty-five patients (81%) had a negative stress test, suggesting a non-vascular aetiology and this finding was subsequently confirmed in 24 of the 25, The final diagnoses were spinal stenosis 13, [CT = 3, myelogram = 5, neurosurgeon opinion = 4, MRI = 1], myositis 2, restless leg syndrome 2 and osteoarthritis 7, Four patients had symptoms due to a combination of peripheral occlusive arterial disease and spinal stenosis; the latter was considered the predominant disorder in all four, Of the original 31 patients with atypical symptoms, spinal stenosis was present in 13 (42%), Atypia - in the common syndrome of intermittent claudication should alert the surgeon to the possibility of spinal canal disorders, Further investigation may identify significant pathology spinal stenosis in particular.
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