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Features of differential diagnosis and treatment of compression radiculopathy L3, L4 and femoral nerve neuropathy

https://doi.org/10.20340/vmi-rvz.2024.1.CASE.3

Abstract

The article discusses aspects of complex pathology – differential diagnosis of lesions of intervertebral discs of the lumbar spine and femoral nerve neuropathy. Assessment of patient complaints, careful collection of anamnesis, interpretation of clinical and neurological examination data, instrumental diagnostic data such as MRI, MSCT, and neurophysiological studies allows you to establish an accurate diagnosis and choose the most effective treatment method.

About the Authors

O. V. Sklyarenko
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Oksana V. Sklyarenko - Cand. Sci. (Med.), Senior Researcher, Neurologist,

1, Bortsov Revolyutsii str., Irkutsk, 664003



S. N. Larionov
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Sergey N. Larionov - Dr. Sci. (Med.), leading researcher, neurosurgeon,

1, Bortsov Revolyutsii str., Irkutsk, 664003



A. P. Zhivotenko
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Aleksander P. Zhivotenko - Researcher, neurosurgeon, 

1, Bortsov Revolyutsii str., Irkutsk, 664003



V. E. Potapov
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Vitaliy E. Potapov - Cand. Sci. (Med.), Leading researcher, Head of the Neurosurgical Department, 

1, Bortsov Revolyutsii str., Irkutsk, 664003



A. V. Gorbunov
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Anatoliy V. Gorbunov - Junior researcher, neurosurgeon,

1, Bortsov Revolyutsii str., Irkutsk, 664003



References

1. 1 Shostak N.A., Pravdyuk N.G. Back pain as a model of pain syndrome of mixed genesis. RMJ. 2015;17:1020. (In Russ).

2. 2 Khabirov F.A. Pain syndromes in the lower extremities. Practical medicine. 2017; I:13–21. (In Russ).

3. 3 Barinov A.N. Complex treatment of tunnel neuropathies of the pelvic girdle in pathology of the lumbar spine. Attending physician. 2013;7:87-89. (In Russ).

4. 4 Berthelot JM, Laredo JD, Darrieutort-Laffite C, Maugars Y. Stretching of roots contributes to the pathophysiology of radiculopathies. Joint Bone Spine. 2018;85:41–45. https://doi.org/10.1016/j.jbspin.2017.01.004

5. 5 Tawa N, Rhoda A, Diener I. Accuracy of clinical neurological examination in diagnosing lumbo-sacral radiculopathy: a systematic literature review. BMC Musculoskelet Disord. 2017;18:93. https://doi.org/10.1186/s12891-016-1383-2

6. 6 Zimakova T.V., Khabirov F.A., Khaybullin T.I. et al. Femoral neuropathy. Practical Medicine. 2012;51-56. (In Russ).

7. 7 Nezari NH, Schneiders AG, Hendrick PA. Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis. Spine J. 2013;13:657-74. https://doi.org/10.1016/j.spinee.2013.02.007

8. 8 Yevtushenko S.N., Yevtushevskaya A.N., Marusichenko V.V. Tunnel neuropathies. Difficulties of diagnosis and therapy. International Neurological Journal. 2015;1(71):25-29. (In Russ)

9. 9 Khabirov F.A. Pain syndromes in the lower extremities. Practical medicine. 2017;I:13-21. (In Russ).

10. 10 Kamath SU, Kamath SS. Lasègue’s Sign. J Clin Diagn Res. 2017;11:RG01-RG02. https://doi.org/10.7860/JCDR/2017/24899.9794

11. 11 Homayouni K, Jafari SH, Yari H. Sensitivity and Specificity of Modified Bragard Test in Patients With Lumbosacral Radiculopathy Using Electrodiagnosis as a Reference Standard. J Chiropr Med. 2018;17:36. https://doi.org/10.1016/j.jcm.2017.10.004

12. 12 Ekedahl H, Jönsson B, Annertz M, Frobell RB. The 1-Year Results of Lumbar Transforaminal Epidural Steroid Injection in Patients with Chronic Unilateral Radicular Pain: The Relation to MRI Findings and Clinical Features. Am J Phys Med Rehabil. 2017;96:654-62. https://doi.org/10.1097/PHM.0000000000000730

13. 13 Zhong E, Zhao Q, Shi B, et al. The Morphology and Possible Clinical Significance of the Intraforaminal Ligaments in the Entrance Zones of the L1-L5 Levels. Pain Physician. 2018;21:E157-E165.


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For citations:


Sklyarenko O.V., Larionov S.N., Zhivotenko A.P., Potapov V.E., Gorbunov A.V. Features of differential diagnosis and treatment of compression radiculopathy L3, L4 and femoral nerve neuropathy. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(1):103-108. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.1.CASE.3

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