e-ISSN 1309-2545      ISSN 1301-062X
TR    ENG
 

Download Current Issue.

Volume : 25 Issue : 3 Year : 2019

Current Issue Archive Popular Articles Ahead of Print Submit Your Article Login
Turkish Journal of Neurology Indexed By
 
  Search






Lumbar Spinal Stenosis and Intermittent Neurogenic Claudication [Turk J Neurol]
Turk J Neurol. 2010; 16(2): 59-71

Lumbar Spinal Stenosis and Intermittent Neurogenic Claudication

Cumhur Ertekin1, Yaprak Seçil2
1Emeritus Professor, Department Of Neurology, Faculty Of Medicine, University Of Ege, Izmir, Turkey
2Clinic Of Neurology, Ataturk Training And Research Hospital, Izmir, Turkey

Lumbar spinal stenosis and intermittent neurogenic claudication is a disease that occurs frequently after the age of 55 and becomes complicated after the age of 65 in clinical, radiological and therapeutic aspects. In this review, acquired spinal stenosis secondary to degenerative osteoarthritis is evaluated. In this disease, lumbar and extremity pain and paresthesia are frequent; however, the most characteristic feature of the disease is the occurrence and worsening of these findings with erect posture and walking (intermittent neurogenic claudication). Even though the radiological findings of spinal stenosis are apparent, 1/4-1/5 of the patients may be asymptomatic. In order to support the clinical findings, neurophysiological tests have been used at rest and motion. Certain electrophysiological signs have been found to change after motion. The most helpful signs are the denervation of paravertebral and leg muscles, H-reflex abnormalities, and the findings obtained with the recently used radicular excitation methods. Electrophysiological methods have been found to be more compatible with the clinical findings. Lumbar surgical approach is considered in patients with impaired life quality and in those unresponsive to conservative treatment.

Keywords: Spinal stenosis, intermittent claudication.


Cumhur Ertekin, Yaprak Seçil. Lumbar Spinal Stenosis and Intermittent Neurogenic Claudication. Turk J Neurol. 2010; 16(2): 59-71

Corresponding Author: Yaprak Seçil, Türkiye


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar




 
© Copyright 2019 Turkish Journal of Neurology
Home        |        Contact
LookUs & OnlineMakale