Combined vascular and neurogenic claudication

Spine
J E JohanssonM Ameli

Abstract

Eight patients with combined vascular and neurogenic claudication were presented. In the adult with coexistent neurospinal and vascular disease, a careful history and examination often suggested the pathology more productive of symptomatology. Among patients presenting with predominately vascular claudication, six of six patients had calf pain as part of the pain pattern, and in three of six patients the pain was crampy. Five of six patients had a consistent exercise tolerance pain pattern and obtained relief of symptoms by resting the leg. Among patients presenting with mainly neurogenic claudication. Only four of eight patients had associated calf pain, and none experienced crampy pain. Five of eight patients had a variable exercise tolerance pain pattern and obtained complete relief of symptoms only by assuming the recumbent position. Doppler testing was very helpful as the initial step in the evaluation of the significance of an arterial lesion and in the follow-up assessment of these patients after vascular surgery. Lumbosacral-spine, cardiovascular, and neurologic examination was similar in the two groups of patients.

Citations

Sep 1, 1989·Clinical Rheumatology·O H Jensen, S Schmidt-Olsen
Nov 23, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Chang-Hoon JeonHwan-Sub Hyun
Apr 20, 2004·Spine·Riaz H LakdawalaHee-Kit Wong
May 22, 2010·Annals of Vascular Surgery·Yao-Chang WangChi-Hsiao Yeh
Feb 1, 1992·The Australian and New Zealand Journal of Surgery·M A MurphyD F Scott

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