AI Article Synopsis
- Non-discal sciatic neuralgia represents 5% of surgical sciatica cases and is categorized into four groups: central, cordal, root, and truncal sciatica.
- These types of sciatica exhibit unusual clinical characteristics, such as atypical triggers, symptoms, locations, and treatment responses.
- Diagnostic imaging like myelography and spinal angiography is essential, whereas discography and lumbar phlebography are not helpful, and treatment plans need to be personalized based on the underlying causes.
Article Abstract
Non discal sciatic neuralgia accounts for 5 per cent of all cases of surgical sciatica. They are divided into four groups: central sciatica very seldom, cordal and root sciatica more common and truncal sciatica. These sciatica are dominated by atypical clinical features: atypical provoking factor, atypical character, atypical topography and therapy. A good x-rays study is necessary involving myelography, angiography of the spine etc., but discography and lumbar phlebography are not useful. A rapid review of aetiologies shows that they cover a wide area and that therapy must be debated for each case.
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