Misdiagnosis of lumbar-sacral radiculopathy: Usefulness of combination of EMG and ultrasound

L. Padua, I. Commodari, M. Zappia, C. Pazzaglia, P. A. Tonali

Research output: Contribution to journalArticle

Abstract

In the presence of sensitive symptoms along the lumbar-sacral dermatomeric region, it is easy to suspect a lumbar-sacral radiculopathy, it being a very common disease. Clinical evaluation, neurophysiology and magnetic resonance imaging are common tools in diagnosing lumbosacral radiculopathy. Nevertheless, sometimes tumour may mimic radiculopathy. With the improvement of ultrasound, most peripheral nerves may be virtually identified. We describe two patients where tumour of sural nerve and tibial nerve mimicked S1 radiculopathy. We diagnosed the tumours only through a comprehensive nerve assessment combining clinical evaluation, US and neurophysiology. The association of neurophysiological and imaging US assessments, possibly in the same session, may avoid misdiagnosis.

Original languageEnglish
Pages (from-to)154-155
Number of pages2
JournalNeurological Sciences
Volume28
Issue number3
DOIs
Publication statusPublished - Jun 2007

Fingerprint

Radiculopathy
Diagnostic Errors
Neurophysiology
Sacrococcygeal Region
Neoplasms
Tibial Nerve
Sural Nerve
Peripheral Nerves
Magnetic Resonance Imaging

Keywords

  • Nerve
  • Radiculopathy
  • Tumour
  • Ultrasound

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Misdiagnosis of lumbar-sacral radiculopathy : Usefulness of combination of EMG and ultrasound. / Padua, L.; Commodari, I.; Zappia, M.; Pazzaglia, C.; Tonali, P. A.

In: Neurological Sciences, Vol. 28, No. 3, 06.2007, p. 154-155.

Research output: Contribution to journalArticle

@article{5a0754374a9a4417b729baf5f10ac46c,
title = "Misdiagnosis of lumbar-sacral radiculopathy: Usefulness of combination of EMG and ultrasound",
abstract = "In the presence of sensitive symptoms along the lumbar-sacral dermatomeric region, it is easy to suspect a lumbar-sacral radiculopathy, it being a very common disease. Clinical evaluation, neurophysiology and magnetic resonance imaging are common tools in diagnosing lumbosacral radiculopathy. Nevertheless, sometimes tumour may mimic radiculopathy. With the improvement of ultrasound, most peripheral nerves may be virtually identified. We describe two patients where tumour of sural nerve and tibial nerve mimicked S1 radiculopathy. We diagnosed the tumours only through a comprehensive nerve assessment combining clinical evaluation, US and neurophysiology. The association of neurophysiological and imaging US assessments, possibly in the same session, may avoid misdiagnosis.",
keywords = "Nerve, Radiculopathy, Tumour, Ultrasound",
author = "L. Padua and I. Commodari and M. Zappia and C. Pazzaglia and Tonali, {P. A.}",
year = "2007",
month = "6",
doi = "10.1007/s10072-007-0810-4",
language = "English",
volume = "28",
pages = "154--155",
journal = "Neurological Sciences",
issn = "1590-1874",
publisher = "Springer-Verlag Italia s.r.l.",
number = "3",

}

TY - JOUR

T1 - Misdiagnosis of lumbar-sacral radiculopathy

T2 - Usefulness of combination of EMG and ultrasound

AU - Padua, L.

AU - Commodari, I.

AU - Zappia, M.

AU - Pazzaglia, C.

AU - Tonali, P. A.

PY - 2007/6

Y1 - 2007/6

N2 - In the presence of sensitive symptoms along the lumbar-sacral dermatomeric region, it is easy to suspect a lumbar-sacral radiculopathy, it being a very common disease. Clinical evaluation, neurophysiology and magnetic resonance imaging are common tools in diagnosing lumbosacral radiculopathy. Nevertheless, sometimes tumour may mimic radiculopathy. With the improvement of ultrasound, most peripheral nerves may be virtually identified. We describe two patients where tumour of sural nerve and tibial nerve mimicked S1 radiculopathy. We diagnosed the tumours only through a comprehensive nerve assessment combining clinical evaluation, US and neurophysiology. The association of neurophysiological and imaging US assessments, possibly in the same session, may avoid misdiagnosis.

AB - In the presence of sensitive symptoms along the lumbar-sacral dermatomeric region, it is easy to suspect a lumbar-sacral radiculopathy, it being a very common disease. Clinical evaluation, neurophysiology and magnetic resonance imaging are common tools in diagnosing lumbosacral radiculopathy. Nevertheless, sometimes tumour may mimic radiculopathy. With the improvement of ultrasound, most peripheral nerves may be virtually identified. We describe two patients where tumour of sural nerve and tibial nerve mimicked S1 radiculopathy. We diagnosed the tumours only through a comprehensive nerve assessment combining clinical evaluation, US and neurophysiology. The association of neurophysiological and imaging US assessments, possibly in the same session, may avoid misdiagnosis.

KW - Nerve

KW - Radiculopathy

KW - Tumour

KW - Ultrasound

UR - http://www.scopus.com/inward/record.url?scp=34447273602&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34447273602&partnerID=8YFLogxK

U2 - 10.1007/s10072-007-0810-4

DO - 10.1007/s10072-007-0810-4

M3 - Article

C2 - 17603769

AN - SCOPUS:34447273602

VL - 28

SP - 154

EP - 155

JO - Neurological Sciences

JF - Neurological Sciences

SN - 1590-1874

IS - 3

ER -