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Updated: Oct 30, 2025

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
14:52

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

Published on: December 11, 2013

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Differentiation of vascular claudication due to bilateral common iliac artery stenosis versus neurogenic claudication

Lisa B E Shields1, Vasudeva G Iyer2, Stephen B Self3

  • 1Norton Neuroscience Institute, Norton Healthcare, Louisville, Kentucky, United States.

Surgical Neurology International
|July 5, 2021
PubMed

Insights

Vascular claudication from iliac artery stenosis can mimic neurogenic claudication. Prompt diagnosis with CT angiograms and appropriate stenting resolved a patient's symptoms, highlighting the importance of considering vascular causes.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Neurosurgery

Background:

  • Differentiating neurogenic claudication (lumbar stenosis) from vascular claudication (aortic/iliac occlusion) is clinically challenging.
  • Both conditions can present with similar symptoms like low back, hip, and buttock pain during ambulation.
  • Vascular claudication due to iliac artery disease often mimics symptoms of lumbar spinal stenosis.

Observation:

  • A 68-year-old female with prior lumbar and cardiac surgery presented with exertional hip and groin pain.
  • Negative lumbar spine evaluations were noted.
  • CT angiogram revealed severe (90%) right common iliac artery stenosis and moderate (50%) left common iliac artery stenosis.

Findings:

  • Bilateral common iliac artery kissing stents were successfully deployed.
  • Post-intervention, the patient's claudication symptoms completely resolved.
  • Successful revascularization effectively treated the patient's exertional leg pain.

Implications:

  • Spine surgeons must consider vascular causes when evaluating patients with claudication symptoms.
  • Diagnostic workup should include lumbar spine imaging (MRI) and vascular studies (CTA).
  • Accurate differentiation leads to appropriate treatment, avoiding unnecessary spinal interventions for vascular disease.
Abstract

Keywords:
ClaudicationElectromyography/nerve conduction studyHipNeurogenicVascular

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