Comparison of Radicular Symptoms Caused by Lumbar Disc Herniation and Lumbar Spinal Stenosis in the Elderly

Rainville, James; Lopez, Edrick

doi:10.1097/brs.0b013e31828f463e

Cited by 29 publications

(16 citation statements)

References 20 publications

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“…Post-infectious VZV myelopathy presents as a self-limiting, monophasic spastic paraparesis, with or without sensory features and sphincter problems, and usually occurs in immunocompetent patients days to weeks after acute varicella or zoster. VZV myelopathy can also present as an insidious, progressive and sometimes fatal myelitis, mostly in immunocompromised individuals, such as patients with AIDS or on immunomodulatory therapy (24, 25). MRI reveals longitudinal serpiginous enhancing lesions.…”

Section: Vzv Myelopathymentioning

confidence: 99%

Neurological complications of varicella zoster virus reactivation

Nagel¹,

Gilden

2014

Current Opinion in Neurology

147

129

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Purpose of the review Varicella zoster virus (VZV) reactivation results in zoster, which may be complicated by postherpetic neuralgia, myelitis, meningoencephalitis and VZV vasculopathy. This review highlights the clinical features, laboratory abnormalities, imaging changes and optimal treatment of each of those conditions. Because all of these neurological disorders produced by VZV reactivation can occur in the absence of rash, the virological tests proving that VZV caused disease are discussed. Recent findings After primary infection, VZV becomes latent in ganglionic neurons along the entire neuraxis. With a decline in VZV-specific cell-mediated immunity, VZV reactivates from ganglia and travels anterograde to the skin to cause zoster, which is often complicated by postherpetic neuralgia. VZV can also travel retrograde to produce meningoencephaltis, myelitis and stroke. When these complications occur without rash, VZV-induced disease can be diagnosed by detection of VZV DNA or anti-VZV antibody in CSF and treated with intravenous acyclovir. Summary Awareness of the expanding spectrum of neurological complications caused by VZV reactivation with and without rash will improve diagnosis and treatment.

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Section: Vzv Myelopathymentioning

confidence: 99%

Neurological complications of varicella zoster virus reactivation

Nagel¹,

Gilden

2014

Current Opinion in Neurology

147

129

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“…Positive straight leg raising test, muscle weakness, and other objective findings are usually more common in these patients. These findings are contradictory to those in patients with LSS who have multiple complaints (inability to walk, inability to stand, or interfere with activities of daily living), but usually no positive objective finding can be detected [10]. …”

Section: Lumbar Disc Herniation Versus Spinal Stenosismentioning

confidence: 86%

“…Although traditionally every case of neurologic impingement with involvement of the spinal cord or nerve roots is categorized as spinal stenosis, the patients who present with only intervertebral disc herniation are usually different from those with LSS [10,11]. In these special cases, the only pathologic finding is herniation of the soft disc without any other abnormality in the adjacent facet joints, ligamentum flavum, or bone.…”

Section: Lumbar Disc Herniation Versus Spinal Stenosismentioning

confidence: 99%

Lumbar Spinal Stenosis: Who Should Be Fused? An Updated Review

2014

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Lumbar spinal stenosis (LSS) is mostly caused by osteoarthritis (spondylosis). Clinically, the symptoms of patients with LSS can be categorized into two groups; regional (low back pain, stiffness, and so on) or radicular (spinal stenosis mainly presenting as neurogenic claudication). Both of these symptoms usually improve with appropriate conservative treatment, but in refractory cases, surgical intervention is occasionally indicated. In the patients who primarily complain of radiculopathy with an underlying biomechanically stable spine, a decompression surgery alone using a less invasive technique may be sufficient. Preoperatively, with the presence of indicators such as failed back surgery syndrome (revision surgery), degenerative instability, considerable essential deformity, symptomatic spondylolysis, refractory degenerative disc disease, and adjacent segment disease, lumbar fusion is probably recommended. Intraoperatively, in cases with extensive decompression associated with a wide disc space or insufficient bone stock, fusion is preferred. Instrumentation improves the fusion rate, but it is not necessarily associated with improved recovery rate and better functional outcome.

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“…Le caractère peu déficitaire de la lombosciatique et le manque de moyens financiers expliquent la rareté de la tomodensitométrie rachidienne dans notre série. Cela reflète une prescription rationnelle de la TDM en raison de son intérêt surtout chirurgical lié à sa précision topographique (Rainville et al, 2013).…”

Section: Discussionunclassified

Lomboradiculalgie Du Sujet Âgé En Consultation Rhumatologique À Lomé, Togo

Kakpovi

Fianyo

Houzou

et al. 2017

ESJ

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Objective: To study the epidemiological, diagnostic, therapeutic and outcome aspects of low back pain with radicular pain in rheumatology ward at Sylvanus Olympio Teaching Hospital at Lome, TOGO. Methods: It is a cross sectional study of 298 patients of 65 years and above, suffering from low back pain with radicular pain. They were admitted in the rheumatology ward of Sylvanus Olympio Teaching Hospital from January 2010 to December 2015. Results: 298 out of 768 patients examined within a period of five years (38.80%) were suffering from low back pain with radicular pain. These 298 patients comprises of 215 women (72.15%) and 83 men (27.85%) with an average age of 62.04 years at the onset. The mean age at the consultation was 70.72 ± 5.5 years. The mean duration of the diseases was 10.28 ± 23.81 months. The major diseases observed were degenerative disc (279 cases : 93.61%), bone tumors (16 cases : 5.38%), and spondylodiscitis (03 cases : 1.01%). The clinical manifestations of the degenerative disc of the lumbar spine were the LBP (209 cases : 74,91%) European Scientific Journal October 2017 edition Vol.13, No.30 ISSN: 1857 -7881 (Print) e -ISSN 1857 223 and the narrowed lumbar canal (47 cases : 16.85%). The bone tumors were dominated by prostate cancer (five cases : 12,02%). The spondylodiscitis, probably of tuberculous origin, affected three patients, among whom was one Human Immunodeficiency Virus (HIV) patient. Conclusion: Degenerative disc is a frequent pathology nowadays, both in the Togolese population and in the elderly in particular. Nevertheless, efforts should be made to eliminate specific back pain in the elderly, whose clinical picture may be misleading

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Comparison of Radicular Symptoms Caused by Lumbar Disc Herniation and Lumbar Spinal Stenosis in the Elderly

Abstract: 3.

Cited by 29 publications

References 20 publications

Neurological complications of varicella zoster virus reactivation

Neurological complications of varicella zoster virus reactivation

Lumbar Spinal Stenosis: Who Should Be Fused? An Updated Review

Lomboradiculalgie Du Sujet Âgé En Consultation Rhumatologique À Lomé, Togo

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