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Differential Diagnosis. I. Organic Diseases

  • F. Postacchini
  • G. Trasimeni

Abstract

Lumbar disc herniation may be responsible for low back pain alone, back pain and pseudoradicular pain, or low back and radicular pain, the latter being confined to the buttock and proximal part of the thigh or extended to the rest of the limb. Numerous pathologic conditions, other than disc herniation, may cause pure back pain and, on the other hand, a herniation is characterized clinically by the presence of radicular pain. We have, thus, limited the analysis of pathologic conditions which may simulate a lumbar disc herniation to the diseases that may be responsible for low back and/or leg pain. This does not imply that the conditions causing only low back pain or back and pseudoradicular pain — such as seronegative spondyloarthritis — cannot simulate a herniated lumbar disc producing only low back pain. However, in these cases, diagnostic confusion is extremely unlikely and, on the other hand, the association of the two conditions — rheumatic disease and disc herniation — may be only incidental, considering that a herniated disc is found in many asymptomatic subjects.

Keywords

Sciatic Nerve Nerve Root Lumbar Disc Lumbar Spinal Stenosis Lumbar Disc Herniation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Abernathey C. D., Onofrio B. M., Scheithauser B. et al.: Surgical management of giant sacral schwannomas. J. Neurosurg. 65: 286–295, 1986.PubMedCrossRefGoogle Scholar
  2. 2.
    Adams J. A.: The pyriformis syndrome — Report of four cases and review of the literature. South African J. Surg. 18: 13–18, 1980.Google Scholar
  3. 3.
    Aldea P. A., Shaw W. W.: Management of acute lower extremity nerve injuries. Foot & Ankle 7: 82–94, 1986.CrossRefGoogle Scholar
  4. 4.
    Alhadeff J., Lee C. K.: Gastrocnemius muscle herniation at the knee causing peroneal nerve compression resembling sciatica. Spine 20: 612–614, 1994.CrossRefGoogle Scholar
  5. 5.
    Andrews D. W., Friedman N. B., Heier L. et al.: Tuboovarian abscess presenting as sciatic pain: case report. Neurosurgery 21: 100–103, 1987.PubMedCrossRefGoogle Scholar
  6. 6.
    Ashleigh R. J., Marcuson R. W.: False aortic aneurysm presenting as sciatic nerve root pain. Eur. J. Vasc. Surg. 7: 214–216, 1993.PubMedCrossRefGoogle Scholar
  7. 7.
    Baker G. S., Parsons W. R., Welch J. S.: Endometriosis within the sheath of the sciatic nerve: report of two patients with progressive paralysis. J. Neurosurg. 25: 652–654, 1966.PubMedCrossRefGoogle Scholar
  8. 8.
    Baker J. K., Hanson G. W.: Cyst of the ligamentum flavum. Spine 19: 1092–1094, 1994.PubMedCrossRefGoogle Scholar
  9. 9.
    Balaparameswara Rao S., Dinakar I., Sreenivasa Rao K.: Extraosseous extradural tuberculous granuloma simulating a herniated lumbar disc. Case report. J. Neurosurg. 35: 488–490, 1971.CrossRefGoogle Scholar
  10. 10.
    Barratt-Boyes B. G.: Symptomatology and prognosis of abdominal aortic aneurysm. Lancet 273: 716–720, 1957.PubMedCrossRefGoogle Scholar
  11. 11.
    Basauri L., Hudson H., Bardales A.: Diverticuli of the nerve root sheaths. Case report. J. Neurosurg. 31: 680–682, 1969.Google Scholar
  12. 12.
    Bastrom J. A., Thomas J. E.: Diabetic polyradiculopathy: clinical and electromyographic findings in 105 patients. Mayo Clin. Proc. 56: 725–732, 1981.Google Scholar
  13. 13.
    Bay J.W.: Other causes of low back pain and sciatica. In: Lumbar disc disease. Second edition. Hardy R. W. Jr. Ed., Raven Press, New York, 1993.Google Scholar
  14. 14.
    Bayar M. A., Yidiz B., Buharali Z.: Management problems in cases with a combination of asymptomatic occult intrasacral meningocele and disc prolapse. Acta Neurochir. (Wien) 108: 67–79, 1991.CrossRefGoogle Scholar
  15. 15.
    Beatty R. A.: Sciatica and epidural gas. Neurosurgery 21: 537–539, 1987.PubMedCrossRefGoogle Scholar
  16. 16.
    Beatty R. A.: The piriformis muscle syndrome: a simple diagnostic maneuver. Surg. Neurol. 34: 512–514, 1994.Google Scholar
  17. 17.
    Bechar M., Becks J. W. F., Penning L.: Intradural arachnoid cysts with scalloping of vertebrae in the lumbosacral region. Acta Neurochir. 26: 275–283, 1972.PubMedCrossRefGoogle Scholar
  18. 18.
    Bednar D. A., Esses S. I., Kucharczyk W.: Symptomatic lumbar epidural lipomatosis in a normal male. A unique case report. Spine 15: 52–53, 1990.PubMedCrossRefGoogle Scholar
  19. 19.
    Black P.: Spinal metastasis: current status and recommended guidelines for management. Neurosurgery 5: 726–746, 1979.PubMedCrossRefGoogle Scholar
  20. 20.
    Bolton P. M., Blumgart L. H.: Neurological complications of ruptured abdominal aortic aneurysm. Br. J. Surg. 59: 204–205, 1972.CrossRefGoogle Scholar
  21. 21.
    Borenstein D. G., Wiesel S. M., Boden S. D.: Low back pain. Medical diagnosis and comprehensive management. Second edition. W. B. Saunders, Philadelphia, pp. 324–330, 1995.Google Scholar
  22. 22.
    Boriani S., Biagini R., De Iure F. et al.: Low back pain in tumors: diagnosis and treatment. Chir. Org. Mov. 79: 93–99, 1994.Google Scholar
  23. 23.
    Bosser V., Dietemann J. L., Warter J. M. et al.: L5 radicular pain related to lumbar extradural gas containing pseudocyst. Role of CT-guided aspiration. Neuroradiology 31: 552–553, 1990.CrossRefGoogle Scholar
  24. 24.
    Brambilla P., Monolo L., Giombelli E. et al.: Sciatica cordonale. Riv. Neurobiol. 30: 523–530, 1984.PubMedGoogle Scholar
  25. 25.
    Brantigan S. W., Owen M. L., Moody F. G.: Femoral neuropathy complicating anticoagulant therapy. Am. J. Surg. 132: 108–109, 1976.PubMedCrossRefGoogle Scholar
  26. 26.
    Bregeon C., Renier J. C., Pidhorz L. et al.: Une cause exceptionelle de sciatique: la tumeur desmoide des tissues mous. A propos de 2 observations. Rev. Rheum. 50: 427–434, 1983.Google Scholar
  27. 27.
    Burckman K. A., Gaines R. W., Kashani S. R. et al.: Herpes zoster: a consideration in the differential diagnosis of radiculopathy. Arch. Phys. Med. Rehabil. 69: 132–134, 1988.Google Scholar
  28. 28.
    Burgoon C. F., Burgoon J. S., Baldridge G. D.: The natural history of herpes zoster. JAMA 164: 265–269, 1957.CrossRefGoogle Scholar
  29. 29.
    Butcher D. L., Sahn S. A.: Epidural lipomatosis: a complication of corticosteroid therapy. Ann. Intern. Med. 90: 60, 1979.PubMedCrossRefGoogle Scholar
  30. 30.
    Cassidy J. R., Ducker T. B.: Intradural neural tumors. In: The adult spine. Frymoyer J. W. Editor-in-chief, Raven Press, New York, 1991.Google Scholar
  31. 31.
    Chadduck S. M.: Intraspinal meningiomas simulating lumbar disc disease. Virginia Med. Monthly 99: 627–631, 1972.PubMedGoogle Scholar
  32. 32.
    Chapman P. H., Martuza R. I., Poletti C. E. et al.: Symptomatic spinal epidural lipomatosis associated with Cushing’s syndrome. Neurosurgery 8: 724–727, 1981.PubMedCrossRefGoogle Scholar
  33. 33.
    Chen W.-S.: Chronic sciatica caused by tuberculous sacroiliitis. A case report. Spine 20: 1194–1196, 1995.PubMedCrossRefGoogle Scholar
  34. 34.
    Cinotti G., Postacchini F., Weinstein J. N.: Lumbar spinal stenosis and diabetes. Outcome of surgical decompression. J. Bone Joint Surg. 76-B: 215–219, 1994.Google Scholar
  35. 35.
    Cloward R. B.: Congenital spinal extradural cysts: case report with review of the literature. Ann. Surg. 5: 851–864, 1968.CrossRefGoogle Scholar
  36. 36.
    Constans J. P., De Divitiis E., Donzelli R. et al.: Spinal metastases with neurological manifestations. Review of 600 cases. J. Neurosurg. 59: 111–118, 1983.PubMedCrossRefGoogle Scholar
  37. 37.
    Coppack S. W., Watkins P. J.: The natural history of diabetic femoral neuropathy. Q. J. Med. 79: 307–313, 1991.PubMedGoogle Scholar
  38. 38.
    Coy J. T., Wolf C. R., Brower T. D. et al.: Pyogenic arthritis of the sacro-iliac joint. J. Bone Joint Surg. 58-A: 845–849, 1976.Google Scholar
  39. 39.
    Craig W. M., Svien H. J., Dodge H. W. Jr.: Intraspinal lesions masquerading as protruded lumbar intervertebral discs. JAMA 149: 250–253, 1952.CrossRefGoogle Scholar
  40. 40.
    Crellin R. Q., Jones E. R.: Sacral extradural cysts. A rare cause of low backache and sciatica. J. Bone Joint Surg. 55-B: 20–31, 1973.Google Scholar
  41. 41.
    Crim J. R., Mirra J. M., Eckardt J. J. et al.: Widespread inflammatory response to osteoblastoma: the flare phenomenon. Radiology 177: 835–836, 1990.PubMedGoogle Scholar
  42. 42.
    Das Gupta T. K., Brasfield R. D., Strong E. W. et al.: Benign solitary schwannomas (neurilemomas). Cancer 24: 355–366, 1969.PubMedCrossRefGoogle Scholar
  43. 43.
    David J. P., Marks C., Bonneral M.: A ten-year institutional experience with abdominal aneurysm. Surg. Gynec. Obstet. 138: 591–594, 1974.PubMedGoogle Scholar
  44. 44.
    Davis D. H., Wilkinson J. T., Teaford A. K. et al.: Sciatica produced by a sacral perineurial cyst. Texas Med. 83: 55–56, 1987.Google Scholar
  45. 45.
    Delmarter R. B., Sachs B. L., Thompson G. H. et al.: Primary neoplasms of the thoracic and lumbar spine: an analysis of 29 consecutive cases. Clin. Orthop. 256: 87–100, 1990.Google Scholar
  46. 46.
    Demierre B., Ramadan A., Hausser H. et al.: Radicular compression due to lumbar intraspinal gas pseudocyst: case report. Neurosurgery 22: 731–733, 1988.PubMedCrossRefGoogle Scholar
  47. 47.
    Descamps P., Cottier J. P., Barre I. et al.: Endometriosis of the sciatic nerve: case report demonstrating the value of MR imaging. Eur. J. Obstet. Gynec. Reproduct. Biol. 58: 199–202, 1995.Google Scholar
  48. 47a.
    Dhote R., Tudoret L., Bachmeyer C. et al.: Cyclic sciatica. A manifestation of compression of the sciatic nerve by endometriosis. A case report. Spine 21: 2277–2279, 1996.PubMedCrossRefGoogle Scholar
  49. 48.
    Dinakar I., Rao S. B.: Neurilemomas of peripheral nerves. Intern. Surg. 55: 15–19, 1971.Google Scholar
  50. 49.
    Dognon L., Himmi A., Avigdor S. et al.: Sciatalgie cataméniale par endométriose du nerf sciatique. Revue de la littérature, à propos d’un cas. J. Gynecol. Obstet. Biol. Reprod. 23: 386–390, 1994.Google Scholar
  51. 50.
    Drury A. B., Palmer P. H., Highman W. J.: Carcinomatous metastasis to the vertebral bodies. J. Clin. Pathol. 17: 448–457, 1964.PubMedCrossRefGoogle Scholar
  52. 51.
    D’ Uva G., Fiorucci S., Nasoni G.: Lipoma gigante sottogluteo rara causa di sciatalgia. Riv. Neurobiol. 29: 105–110, 1983.PubMedGoogle Scholar
  53. 52.
    Eisenberg D., Gomori J. M., Findler G. et al.: Symptomatic diverticulum of the sacral nerve root sheath. Neuroradiology 27: 183–187, 1985.PubMedCrossRefGoogle Scholar
  54. 53.
    Eismont F. J., Montero C.: Infections of the spine. In: Handbook of the spinal cord. Davidoff R. A. Ed., M. Dekker, New York, 1987.Google Scholar
  55. 54.
    Eyster E. F., Scott W. R.: Lumbar synovial cysts: report of eleven cases. Neurosurgery 24: 112–115, 1989.PubMedCrossRefGoogle Scholar
  56. 55.
    Fabbriciani C., Schiavone Panni A., Sacchettoni-Logroscino G.: Su di un raro caso di neurinoma plessiforme dello sciatico. Arch. Putti: 237–245, 1983.Google Scholar
  57. 56.
    Fandino J., Garcia J., Garcia-Abeledo M.: Radicular compression by gas in a spinal canal extra dural cyst. Report on two cases. Neurochirurgie 40: 179–182, 1994.PubMedGoogle Scholar
  58. 57.
    Fardon D. F., Simmons J. D.: Gas filled intraspinal ganglion cysts: a case report. Spine 14: 127–129, 1989.PubMedCrossRefGoogle Scholar
  59. 58.
    Ficat R. P.: Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J. Bone Joint Surg. 67-B: 3–9, 1985.Google Scholar
  60. 59.
    Fielding J. W. L., Black J., Ashton F. et al.: Diagnosis and management of 528 abdominal aortic aneurysms. Br. Med. J. 283: 355–359, 1981.CrossRefGoogle Scholar
  61. 60.
    Fine M. J., Kricheff I. I., Freed D. et al.: Spinal cord ependymomas: MR imaging features. Radiology 197: 655–658, 1995.PubMedGoogle Scholar
  62. 61.
    Fontanesi G.: La sciatica da lesione midollare (sciatica cordonale). Atti SERTOT 11: 1–16, 1966.Google Scholar
  63. 62.
    Fornasier V. L., Home J. C.: Metastases to the vertebral column. Cancer 36: 590–594, 1975.PubMedCrossRefGoogle Scholar
  64. 63.
    Freiberg A. H.: The fascial elements in associated low-back and sciatic pain. J. Bone Joint Surg. 23: 478–480, 1941.Google Scholar
  65. 64.
    Gadelrab P. R.: Sciatic nerve entrapment in an osseous tunnel as a late complication of fracture dislocation of the hip. Orthopedics 13: 1262–1264, 1990.PubMedGoogle Scholar
  66. 65.
    Galasko C. S. B., Doyle F. H.: Skeletal metastases. Butterworths, Boston, 1986.Google Scholar
  67. 66.
    Gandolfi M.: Clinica e terapia delle protrusioni posteriori dei dischi intervertebrali lombari. Rel. 51° Congr. SIOT, 1966.Google Scholar
  68. 67.
    Gebarski S. S., Gebarski K. S., Gabrielsen T. O. et al.: Gas as a mass: a symptomatic spinal canalicular collection. J. Comput. Assist. Tomogr. 8: 145–146, 1984.PubMedCrossRefGoogle Scholar
  69. 68.
    Geelen J. A. G., De Graaff R., Biemans R. G. M. et al.: Sciatic nerve compression by an aneurysm of the internal iliac artery Clin. Neurol. Neurosurg. 87: 219–222, 1985.CrossRefGoogle Scholar
  70. 69.
    Gloor P., Woringer E., Schneider J. et al.: Lombosciatiques par anomalies vasculaires épidurales. Schweiz. Med. Wochenschr. 82: 537–546, 1952.PubMedGoogle Scholar
  71. 70.
    Glover M. G., Convery F. R.: Migration of fractured greater trochanteric osteotomy wire with resultant sciatica. A report of two cases. Orthopedics 12: 743–744, 1989.PubMedGoogle Scholar
  72. 71.
    Goodkin R., Carr B. I., Perrin R. G.: Herniated lumbar disc disease in patients with malignancy. J. Clin. Oncol. 5: 667–671, 1987.PubMedGoogle Scholar
  73. 72.
    Gordon G., Kabins S. A.: Pyogenic sacroiliitis. Am. J. Med. 69: 50–56, 1980.PubMedCrossRefGoogle Scholar
  74. 73.
    Gouliamos A., Dardoufas C., Papailiou I. et al.: Low back pain due to extramedullary hemopoiesis. Neruroradiology 33: 284–285, 1991.CrossRefGoogle Scholar
  75. 74.
    Gouliamos A. D., Kontogiannis D. S., Androulidakis J. et al.: Spinal neurilemmomas and neurofibromas: central dot sign in postgadolinium MRI. J. Comput. Assist. Tomogr. 17: 446–448, 1993.PubMedCrossRefGoogle Scholar
  76. 75.
    Greco F., De palma L., Toniolo R.: Lombosciatalgie chirurgiche di origine non discale: osteoma osteoide ed osteoblastoma vertebrale. Arch. Putti 33: 371–380, 1983.PubMedGoogle Scholar
  77. 76.
    Greene D. A., Sima A. A. F., Albers J. W. et al.: Diabetic neuropathy. In: Diabetes mellitus. Theory and practice. Fourth edition. Rifkin H., Porte D. Jr. Eds., Elsevier, New York, Amsterdam, London, 1990.Google Scholar
  78. 77.
    Guerrero I. C., Slap G. B., MacGregor R. B. et al.: Anaerobic spinal epidural abscess. J. Neurosurg. 48: 465–469, 1978.PubMedCrossRefGoogle Scholar
  79. 78.
    Guiot G.: Sciatiques par lésions médullaires, sciatiques cordonales. Rev. Chir. Orthop. 52: 164–167, 1966.Google Scholar
  80. 79.
    Gulati A. N., Weinstein Z. R.: Gas in the spinal canal in association with the lumbosacral vacuum phenomenon: CT findings. Neuroradiology 20: 191–192, 1980.PubMedCrossRefGoogle Scholar
  81. 80.
    Gupta K. L., Kapila A., Nasca R. J. et al.: Post-traumatic lumbar extra-arachnoid mass with radiculopathy responding to conservative therapy in a patient with bilateral laminar fractures. Spine 13: 945–948, 1988.PubMedCrossRefGoogle Scholar
  82. 81.
    Gutman H., Zelikovski A., Gadoth N. et al.: Sciatic pain: a diagnostic pitfall. J. Cardiovasc. Surg. 28: 204–205, 1987.Google Scholar
  83. 82.
    Halliday A. L., Sobel R. A., Martuza R. L.: Benign spinal nerve sheath tumors: their occurrence sporadically and in neurofibromatosis. Types 1 and 2. J. Neurosurg. 74: 248–253, 1991.PubMedCrossRefGoogle Scholar
  84. 83.
    Harrington K. D.: Metastatic disease of the spine. J. Bone Joint Surg. 68-A: 1110–1115, 1986.Google Scholar
  85. 84.
    Head H. B., Welch J. S., Mussey E. et al.: Cyclic sciatica: report of case with introduction of a surgical sign. JAMA 80: 521–524, 1962.CrossRefGoogle Scholar
  86. 85.
    Heithoff K. B., Herzog R. J.: Computed tomography and enhanced CT of the spine. In: The adult spine. Frymoyer J. W. Editor-in-chief, Raven Press, New York, 1991.Google Scholar
  87. 86.
    Hibbard J., Schreiber J. R.: Footdrop due to sciatic nerve endometriosis. Am. J. Obstet. Gynecol. 149: 800–801, 1984.PubMedGoogle Scholar
  88. 87.
    Hirsh L. F.: Diabetic polyneuropathy simulating lumbar disc disease. Report of four cases. J. Neurosurg. 60: 183–186, 1984.CrossRefGoogle Scholar
  89. 88.
    Hoddick W. K., Callen P. W., Filly R. A. et al.: Ultrasound evaluation of benign sciatic nerve sheath tumors. J. Ultrasound Med. 3: 505–507, 1984.PubMedGoogle Scholar
  90. 89.
    Hsu K. Y., Zucherman J. F., Shea W. J. et al.: Lumbar intraspinal synovial and ganglion cysts (facet cysts). Ten-year experience in evaluation and treatment. Spine 20: 80–89, 1995.PubMedCrossRefGoogle Scholar
  91. 90.
    Ippolito E., Postacchini F.: Osteoid osteoma of the neck of the femur simulating the lumboradicular syndrome (2 case reports). Ital. J. Orthop. Traumat. 9: 497–500, 1983.Google Scholar
  92. 91.
    JacksonE. D., Scott Atlas W., Mani J. R. et al.: Intraspinal synovial cysts: MR imaging. Radiology 170: 527–530, 1989.PubMedGoogle Scholar
  93. 92.
    Jensen P. K., Andersen E. B., Boersen F. et al.: The incidence of herniated disc and varicella zoster virus infection in lumboradicular syndrome. Acta Neurol. Scand. 80: 142–144, 1989.PubMedCrossRefGoogle Scholar
  94. 93.
    Job-Deslandre C., Gagnerie F., Revel M. et al.: Sciatica caused by a posterior articular cyst, apropos of 8 cases. Rev. Rhum. Mal. Osteoart. 56: 731–734, 1989.Google Scholar
  95. 94.
    Johansen J. G., Nestvold K., Sortland O.: Extraspinal pathology and incidental disc herniation in patients with sciatica. Spine 13: 437–439, 1988.PubMedCrossRefGoogle Scholar
  96. 95.
    Jones B. V., Ward M. W.: Myositis ossificans in the biceps femoris muscle causing sciatic nerve palsy. J. Bone Joint Surg. 62-B: 506–507, 1980.Google Scholar
  97. 96.
    Kaplan J. L., Challenor Y.: Postraumatic osseous tunnel formation causing sciatic nerve entrapment. Arch. Phys. Med. Rehabil. 74: 552–554, 1993.PubMedCrossRefGoogle Scholar
  98. 97.
    Karpinski M. R. K., Piggott H.: Greater trochanteric pain syndrome. A report of 15 cases. J. Bone Joint Surg. 67-B: 762–763, 1985.Google Scholar
  99. 98.
    Keczkes K., Basheer A. M.: Do corticosteroids prevent postherpetic neuralgia? Br. J. Dermatol. 102: 551–557, 1981.CrossRefGoogle Scholar
  100. 99.
    Kelso T. B., Ferrari C. J., Frassica F. J.: Sciatica caused by a neurilemoma of the intrapelvic portion of the sciatic nerve. A case report. J. Bone Joint Surg. 75-A: 603–605, 1993.Google Scholar
  101. 100.
    Keon-Cohen B.T.: Epidural abscess simulating disc hernia. J. Bone Joint Surg. 50-B: 128–130, 1968.Google Scholar
  102. 101.
    Kjerulf T., Terry D., Boubelik R.: Lumbar synovial or ganglion cysts. Neurosurgery 19: 415–420, 1985.CrossRefGoogle Scholar
  103. 102.
    Kleiman S. G., Stevens J., Kolb L. et al.: Late sciatic nerve palsy following posterior fracture dislocation of the hip. J. Bone Joint Surg. 53-A: 781–782, 1971.Google Scholar
  104. 103.
    Kumar R., West C. G. H., Gillespie J. E.: Gas in a spinal extradural cyst. Case report. J. Neurosurg. 70: 486–488, 1989.PubMedCrossRefGoogle Scholar
  105. 104.
    Kurz L., Garhn S., Unger A. et al.: Intraspinal synovial cyst causing sciatica. J. Bone Joint Surg. 67-A: 865–871, 1985.Google Scholar
  106. 105.
    Lassman L. P., James C. C. M.: Lumbosacral lipomas: critical survey of 26 cases submitted to laminectomy. J. Neurol. Neurosurg. Psychiat. 30: 174–181, 1967.PubMedCrossRefGoogle Scholar
  107. 106.
    Laus M., Alfonso C., Giubti A.: Lombosciatic pain and coagulopathies. Chir. Org. Mov. 76: 229–236, 1991.Google Scholar
  108. 107.
    Lemish W., Apsimon T., Chakera T.: Lumbar intraspinal synovial cysts. Recognition and CT diagnosis. Spine 14: 1378–1383, 1989.PubMedCrossRefGoogle Scholar
  109. 108.
    Levy W. J., Bay J. W., Dohn D.: Spinal cord meningiomas. J. Neurosurg. 57: 804–812, 1982.PubMedCrossRefGoogle Scholar
  110. 109.
    Liguori C., D’ Onofrio D.: Osteocondroma vertebrale in lombosciatalgia da ernia del disco. Contributo casistico. Arch. Putti 36: 241–246, 1986.PubMedGoogle Scholar
  111. 110.
    Lin R.-M., Wey K.-L., Tzeng C.-C.: Gas-containing “ganglion” cyst of lumbar posterior longitudinal ligament at L3. Case report. Spine 16: 2528–2532, 1993.CrossRefGoogle Scholar
  112. 111.
    Liu S. S., Williams K. D., Drayer B. P. et al.: Synovial cysts of the lumbosacral spine: diagnosis by MR imaging. AJR 154: 163–166, 1990.PubMedCrossRefGoogle Scholar
  113. 112.
    Lourie G., Pruzansky M., Reiner M. et al.: Pyarthrosis of the sacroiliac joint presenting as lumbar radiculopathy. Spine 11: 638–639, 1986.PubMedCrossRefGoogle Scholar
  114. 113.
    Love J. R., Rivers M. H.: Spinal cord tumours simulating protruded intervertebral discs. JAMA 179: 878–881, 1962.PubMedCrossRefGoogle Scholar
  115. 114.
    Maiuri F., Corriero G., Gallicchio B. et al.: Late neurological disfunction in adult lumbosacral lipoma. J. Neurosurg. Sci. 31: 7–11, 1987.PubMedGoogle Scholar
  116. 115.
    Malat J., Virapongse C., Levine A.: Solitary osteochondroma of the spine. Spine 11: 625–628, 1986.PubMedCrossRefGoogle Scholar
  117. 116.
    Marsh B. W., Bonfiglio M., Brady L. P. et al.: Benign osteoblastoma: range of manifestations. J. Bone Joint Surg. 57-A: 1–9, 1975.Google Scholar
  118. 117.
    Masdeu J. C., Breuer A. C., Shoene W. C.: Spinal subarachnoid hematomas: clue to a source of bleeding in traumatic lumbar puncture. Neurology 29: 872–876, 1979.PubMedCrossRefGoogle Scholar
  119. 118.
    Matsumoto S., Hasuok K., Uchino A. et al.: MRI of intradural-extramedullary spinal neurinomas and meningiomas. Clin. Imaging 17: 46–52, 1993.PubMedCrossRefGoogle Scholar
  120. 119.
    McDougall A., McGarrity G.: Extra-abdominal desmoid tumor. J. Bone Joint Surg. 61-B: 373–377, 1979.Google Scholar
  121. 120.
    McKinney A. S.: Neurologic findings in retroperitoneal mass lesions. South. Med. J. 66: 862–864, 1973.PubMedCrossRefGoogle Scholar
  122. 121.
    Miller A., Stedman G. H., Beisaw N. E. et al.: Sciatica caused by an avulsion fracture of the ischial tuberosity. A case report. J. Bone Joint Surg. 69-A: 143–145, 1987Google Scholar
  123. 122.
    Morello A., Bongiorno F., Porrello C. et al.: Sciatalgia: problema aperto. Riv. Neurol. 53: 63–80, 1983.PubMedGoogle Scholar
  124. 123.
    Morisi M., Santoni N., Zanoli P. G.: Su di un caso di neurinoma centrale del tronco dello sciatico. Min. Chir. 19: 669–674, 1964.Google Scholar
  125. 124.
    Nabors M. W., Pait T. G., Byrd E. B. et al.: Update assessment and current classification of spinal meningeal cysts. J. Neurosurg. 68: 366–377, 1988.PubMedCrossRefGoogle Scholar
  126. 125.
    Naftulin S., Fast A., Thomas M.: Diabetic lumbar radiculopathy: sciatica without disc herniation. Spine 18: 2419–2422, 1993.PubMedCrossRefGoogle Scholar
  127. 126.
    Nakagami W., Yokota S., Ohishi Y. et al.: Chronic spontaneous lumbar spinal epidural hematoma. Spine 17: 1509–1511, 1992.PubMedCrossRefGoogle Scholar
  128. 127.
    Nayernouri T.: Neurilemomas of the cauda equina presenting as prolapsed lumbar intervertebral discs. Surg. Neurol. 23: 187–188, 1985.PubMedCrossRefGoogle Scholar
  129. 128.
    Nehls D. G., Shetter A. G., Hodak J. A. et al.: Chronic spinal epidural hematoma presenting as lumbar stenosis: clinical, myelographic, and computed tomographic features. A case report. Neurosurgery 14: 230–233, 1984.PubMedCrossRefGoogle Scholar
  130. 129.
    Nishiura I., Koyama T., Handa J.: Intrasacral perineural cyst. Surg. Neurol. 23: 265–269, 1985.PubMedCrossRefGoogle Scholar
  131. 130.
    Nobel A., Werner R., Marks S. et al.: The anatomic basis for femoral nerve palsy following iliacus hematoma. J. Neurosurg. 52: 533–540, 1980.PubMedCrossRefGoogle Scholar
  132. 131.
    O’ Neill T., Grosch C., Eustace S. et al.: Sciatica caused by isolated non-Hodgkin’s lymphoma of the spinal epidural space: a report of two cases. Br. J. Rheum. 30: 385–386, 1991.CrossRefGoogle Scholar
  133. 132.
    Osman A. A., Govender S.: Septic sacroiliitis. Clin. Orthop. 313: 214–219, 1995.PubMedGoogle Scholar
  134. 133.
    Pace J. B., Nagle D.: Piriform syndrome. Western J. Med. 124: 435–439, 1976.Google Scholar
  135. 134.
    Palmer J. D., Clarke N. P. M., Pickard J. D. et al.: Unusual sciatica: traumatic rupture of the ligamentum flavum. Br. J. Neurosurg. 5: 523–524, 1991.PubMedCrossRefGoogle Scholar
  136. 135.
    Pecina M.: Contribution to the etiological explanation of the pyriformis syndrome. Acta Anat. 105: 181–187, 1979.PubMedCrossRefGoogle Scholar
  137. 136.
    Perrin R. G., McBroom R. J.: Anterior versus posterior decompression for symptomatic spinal metastasis. Can. J. Neurol. Sci. 14: 75–80, 1987.PubMedGoogle Scholar
  138. 137.
    Pettine K. A., Klassen R. A.: Osteoid-osteoma and osteoblastoma of the spine. J. Bone Joint Surg. 68-A: 354–361, 1986.Google Scholar
  139. 138.
    Poirier J., Escourolle R., Castaigne P.: Les neurofibromes de la maladie de Recklinghausen: étude ultrastructurale et place nosologique par rapport aux neurinomes. Acta Neuropath. 10: 279–294, 1968.PubMedCrossRefGoogle Scholar
  140. 139.
    Postacchini F., Montanaro A.: Tuberculous epidural granuloma simulating a herniated lumbar disk: a report of a case. Clin. Orthop. 148: 182–185, 1980.PubMedGoogle Scholar
  141. 140.
    Postacchini F., Urso S., Tovaglia V.: Lumbosacral intradural tumours simulating disc disease. Int. Orthop. (SICOT) 5: 283–289, 1981.CrossRefGoogle Scholar
  142. 141.
    Proschek R., Fowles J. V., Bruneau L.: A case of post-traumatic false aneurysm of the superior gluteal artery with compression of the sciatic nerve. Can. J. Surg. 26: 554–555, 1983.PubMedGoogle Scholar
  143. 142.
    Prusik V. R., Herkowitz H. N., Davidson D. D. et al.: Sciatica from a sciatic neurilemoma. J. Bone Joint Surg. 68-A: 1456–1457, 1986.Google Scholar
  144. 143.
    Puranen J., Orava S.: The hamstring syndrome. A new diagnosis of gluteal sciatic pain. Am. J. Sports Med. 16: 517–521, 1988.CrossRefGoogle Scholar
  145. 144.
    Quekel L. G., Versteege C. W.: The “dural tail sign” in MRI of spinal meningiomas. J. Comput. Assist. Tomogr. 19: 890–892, 1995.PubMedCrossRefGoogle Scholar
  146. 145.
    Randall B. C., Muraki A. S., Osborn R. E. et al.: Epidural lipomatosis with lumbar radiculopathy: CT appearance. J. Comput. Assist. Tomogr. 10: 1039–1041, 1986.PubMedCrossRefGoogle Scholar
  147. 146.
    Reinstein L., Eckold J. W.: Sciatic nerve compression by preexisting heterotopic ossification during general anesthesia in the dorsal lithotomy position. Arch. Phys. Med. Rehabil. 64: 65–68, 1983.PubMedGoogle Scholar
  148. 147.
    Revel M., Amor B., Mathieu A. et al.: Sciatica induced by primary epidural adhesions. Lancet 5; 1(8584): 527–528, 1988.CrossRefGoogle Scholar
  149. 148.
    Ricca G. F., Robertson J. T., Hines R. S.: Nerve root compression by herniated intradiscal gas. Case report. J. Neurosurg. 72: 282–284, 1990.PubMedCrossRefGoogle Scholar
  150. 149.
    Ricciardi L.: Ciste radicolare e meningocele sacrale. Arch. Putti 23: 242–249, 1968.PubMedGoogle Scholar
  151. 150.
    Richards B. J., Gillet W. R., Pollock K. M.: Reversal of foot drop in sciatic nerve endometriosis. J. Neurol. Neurosurg. Psychiat. 54: 935–940, 1991.PubMedCrossRefGoogle Scholar
  152. 151.
    Rinaldi I., Fitzer P. M., Whitley D. F. et al.: Aneurism of the inferior gluteal artery causing sciatic pain. Case report. J. Neurosurg. 44: 100–104, 1976.PubMedCrossRefGoogle Scholar
  153. 152.
    Robinson D. R.: Pyriformis syndrome in relation to sciatic pain. Am. J. Surg. 73: 355–358, 1947.PubMedCrossRefGoogle Scholar
  154. 153.
    Romanoff M. E., Cory P. C., Kalenak A. et al.: Saphenous nerve entrapment at the adductor canal. Am J. Sports Med. 17: 478–481, 1989.PubMedCrossRefGoogle Scholar
  155. 154.
    Rosemblum J., Mojatahed S., Foust R. S.: Synovial cysts in the lumbar spine; MR characteristics. AJNR 10: S 94, 1989.Google Scholar
  156. 155.
    Rosenthal D. I., Scott J. A., Mankin H. J. et al.: Sacrococcygeal chordoma: magnetic resonance imaging and computed tomography. AJR 145: 143–147, 1985.PubMedCrossRefGoogle Scholar
  157. 156.
    Rothschild B. M., Cohn L., Aviza A. et al.: Aortic aneurysm producing back pain, bone destruction, and paraplegia. Clin. Orthop. 164: 123–125, 1982.PubMedGoogle Scholar
  158. 157.
    Roy-Camille R., Mazel C., Husson J. L. et al.: Symptomatic spinal epidural lipomatosis induced by a long-term steroid treatment. Review of the literature and report of two additional cases. Spine 16: 1365–1371, 1991.PubMedCrossRefGoogle Scholar
  159. 158.
    Saal J. A., Dillingham M. F., Gamburd R. S. et al.: The pseudoradicular syndrome. Lower extremity peripheral nerve entrapment masquerading as lumbar radiculopathy. Spine 13: 926–930, 1988.PubMedCrossRefGoogle Scholar
  160. 159.
    Sakata T., Kurihara A.: Spontaneous spinal subdural hematoma. A case report. Spine 9: 324–326, 1984.PubMedCrossRefGoogle Scholar
  161. 160.
    Sanguinetti C., Specchia N., Gigante A. et al.: Clinical and pathological aspects of solitary spinal neurofibroma. J. Bone Joint Surg. 75-B: 141–147, 1993.Google Scholar
  162. 161.
    Savage C. R., Gallagher E. J.: Lower-limb pain in chronic rupture of abdominal aneurysms. Br. Med. J. ii: 1542–1543, 1960.CrossRefGoogle Scholar
  163. 162.
    Savini R., Gherlinzoni F., Morandi M. et al.: Surgical treatment of giant-cell tumor of the spine. The experience of the Istituto Oropedico Rizzoli. J. Bone Joint Surg. 65-A: 1283–1289, 1983.Google Scholar
  164. 163.
    Savitz M. H., Katz S. S., Goldstein H. B. et al.: Hypertrophic synovitis of the facet joint forming a para-articular mass in cases of herniated intervertebral disc. Spine 12: 509–510, 1987.PubMedCrossRefGoogle Scholar
  165. 164.
    Sayson S. C., Ducey J. P., Maybrey J. B. et al.: Sciatic entrapment neuropathy associated with an anomalous piriformis muscle. Pain 59: 149–152, 1994.PubMedCrossRefGoogle Scholar
  166. 165.
    Schaberg J., Gainor B. J.: A profile of metastatic carcinoma of the spine. Spine 10: 19–20, 1985.PubMedCrossRefGoogle Scholar
  167. 166.
    Scott M.: Lower extremity pain simulating sciatica: tumors of the high thoracic and cervical cord as causes. JAMA 160: 528–534, 1956.CrossRefGoogle Scholar
  168. 167.
    Shames J. L., Fast A.: Gluteal abscess causing sciatica in a patient with systemic lupus erythematosus. Arch. Phys. Med. Rehabil. 70: 410–411, 1989.PubMedGoogle Scholar
  169. 168.
    Shulz E. E., West W. L., Hinshaw D. B. et al.: Gas in a lumbar extradural juxta-articular cyst: sign of synovial origin. AJR 143: 875–876, 1984.CrossRefGoogle Scholar
  170. 169.
    Simeone F. A., Lawner P. M.: Intraspinal neoplasms. In: The spine. Rothman R. H., Simeone F. A. Eds., W. B. Saunders, Philadelphia, 1982.Google Scholar
  171. 170.
    Simpson J. M., Silveri C. P., Balderston R. A. et al.: The results of operations on the lumbar spine in patients who have diabetes mellitus. J. Bone Joint Surg. 75-A: 1823–1829, 1993.Google Scholar
  172. 171.
    Stack R. E., Bianco A. J., Maccarty C. S.: Compresssion of the common peroneal nerve by ganglion cysts. J. Bone Joint Surg. 47-A: 773–778, 1965.Google Scholar
  173. 172.
    Stella L., Gambardella A., Maiuri F.: Giant sacral perineurial cyst. A case report. Clin. Neurol. Neurosurg. 91: 343–346, 1989.PubMedCrossRefGoogle Scholar
  174. 173.
    Stewart W. D., Danto J. L., Maddin S.: Dermatology: diagnosis and treatment of cutaneous disorders. Fourth Edition. C. V. Mosby, St. Louis, pp. 304–307, 1978.Google Scholar
  175. 174.
    Subramony S. H., Wilbourn A. J.: Diabetic proximal neuropathy: clinical and electromyographic studies. J. Neurol. Sci. 53: 293–304, 1982.PubMedCrossRefGoogle Scholar
  176. 175.
    Sundarm M., Awad E.: MRI of arachnoid cyst destroying the sacrum. AJR 146: 359–360, 1986.CrossRefGoogle Scholar
  177. 176.
    Sunderland S.: Nerves and nerve injuries. Second edition. Churchill Livingstone, New York, 1978.Google Scholar
  178. 177.
    Supik L. F., Broom M. J.: Epidural lipoma causing a myelographic block in a patient who had sciatica and lumbosacral spondylolistesis. J. Bone Joint Surg. 73-A: 1104–1107, 1991.Google Scholar
  179. 178.
    Takata K., Takahashi K.: Cyclic sciatica. A case report. Spine 19: 89–90, 1994.PubMedCrossRefGoogle Scholar
  180. 179.
    Tarlov I. M.: Spinal perineurial and meningeal cysts. J. Neurol. Neurosurg. Psychiat. 33: 833–843, 1970.PubMedCrossRefGoogle Scholar
  181. 180.
    Tatagiba M., Aguiar P. H., Samii M.: Management of occult intrasacral meningocele associated with lumbar disc prolapse. Neurosurg. Rev. 17: 313–315, 1994.PubMedCrossRefGoogle Scholar
  182. 181.
    Thakkar D. H., Porter R. W.: Heterotopic ossification enveloping the sciatic nerve following posterior fracture-dislocation of the hip: a case report. Injury 13: 207–209, 1981.PubMedCrossRefGoogle Scholar
  183. 182.
    Thomas J. E., Piepgras D. G., Sheithauer B. et al.: Neurogenic tumors of the sciatic nerve. A clinico-pathologic study of 35 cases. Mayo Clin. Proc. 58: 640–647, 1983.PubMedGoogle Scholar
  184. 183.
    Torkelson S. J., Lee R. A., Hildah D. B.: Endometriosis of the sciatic nerve: report of two cases and a review of the literature. Obstet. Gynecol. 71: 473–477, 1988.PubMedGoogle Scholar
  185. 184.
    Tsolakis I., Korovessis P., Spastris P. et al.: Acute rupture of an aortic aneurysm mimicking the discus hernia syndrome. Intern. Angiol. 11: 142–144, 1992.Google Scholar
  186. 185.
    Van der Sluis R., Gurr K., Joseph M. G.: Osteochondroma of the lumbar spine. An unusual cause of sciatica. Spine 17: 1519–1521, 1992.PubMedCrossRefGoogle Scholar
  187. 186.
    Vandertop W. P., Bosma N. J.: The piriformis syndrome. A case report. J. Bone Joint Surg. 73-A: 1095–1097, 1991.Google Scholar
  188. 187.
    Vernet O., Fankhauser H., Schneyder P. et al.: Cyst of the ligamentum flavum: report of six cases. Neurosurgery 29: 277–283, 1991.PubMedCrossRefGoogle Scholar
  189. 188.
    Wang A.-M., Lewis M. L., Rumbaugh C. L. et al.: Spinal cord or nerve root compression in patients with malignant disease: CT evaluation. J. Comp. Ass. Tomogr. 83: 420–428, 1984.CrossRefGoogle Scholar
  190. 189.
    Watkins P. J.: Natural history of diabetic neuropathies. Q. J. Med. 77: 1209–1218, 1990.PubMedCrossRefGoogle Scholar
  191. 190.
    Weinstein J. N.: Differential diagnosis and surgical treatment of primary benign and malignant neoplasms. In: The adult spine. Frymoyer J.W. Editor-in-chief, Raven Press, New York, 1991.Google Scholar
  192. 191.
    Werner A., Gaitzsch J.: Hypogastric artery aneurysm: a very rare cause of sciatica (and a tricky diagnostic problem!). Surg. Neurol. 10: 89–91, 1978.PubMedGoogle Scholar
  193. 192.
    Wetzel L. H., Levine E.: MR imaging of sacral and presacral lesions. AJR 154: 771–775, 1990.PubMedCrossRefGoogle Scholar
  194. 193.
    Wiesel S. W., Ignatius P., Marvel J. P. Jr. et al.: Intradural neurofibroma simulating lumbar-disc disease. Report of six cases. J. Bone Joint Surg. 55-A: 1040–1042, 1976.Google Scholar
  195. 194.
    Wong D. A.: Spinal metastases: the obvious, the occult, and the impostors. Spine 15: 1–4, 1990.PubMedCrossRefGoogle Scholar
  196. 195.
    Yang W. C., Rudansky M. C., Stiller J. et al.: Value of metrizamide CT in the demonstration of spinal arachnoid cysts. Am. J. Neuroradiol. 4: 115–118, 1983.Google Scholar
  197. 196.
    Young M. J., Boulton A. J. M., Macleod A. F. et al.: A multicentre study of the prevalence of diabetic neuropathy in the United Kingdom hospital clinic population. Diabetologia 36: 150–154, 1993.PubMedCrossRefGoogle Scholar
  198. 197.
    Zotti G.: Lombosciatalgia da anomalia vasculare epidurale (Considerazioni su 8 casi trattati chirurgicamente). Min. Med. 55: 1601–1611, 1964.Google Scholar
  199. 198.
    Zumpano B. J., Saunders R. L.: Lumbar intradural arachnoid diverticulum with cauda equina compression. Surg. Neurol. 5: 349–353, 1976.PubMedGoogle Scholar

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© Springer-Verlag Wien 1999

Authors and Affiliations

  • F. Postacchini
  • G. Trasimeni

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