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[The value of compute tomography in "sciatica" (author's transl)]

H Böhm-Jurkovic, B Hammer

    Wiener Medizinische Wochenschrift (1946)
    |January 1, 1981
    PubMed
    Summary

    Computed tomography (CT) is crucial for diagnosing therapy-resistant lumboischialgia without herniated discs, especially when tumors or abscesses are suspected. This imaging technique is essential for effective treatment planning in complex sciatica cases.

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    Area of Science:

    • Neurology
    • Radiology
    • Oncology

    Background:

    • Therapy-resistant lumboischialgia without a herniated disc presents a diagnostic challenge.
    • Conventional imaging methods like X-ray and radiculography can be insufficient in these cases.

    Observation:

    • This study examined 13 cases of therapy-resistant lumboischialgia.
    • In 12 cases, the cause was a tumor; in one case, an abscess.
    • Computed tomography (CT) of the lumbar and pelvic region was used for examination.

    Findings:

    • CT is indicated immediately after inconclusive conventional X-ray and radiculography results.
    • CT is indispensable for patients with sciatica and a known malignancy.
    • CT provides essential information for therapy planning.

    Implications:

    • CT imaging significantly improves the diagnostic accuracy for complex lumboischialgia.
    • Early CT utilization can lead to more precise and effective treatment strategies.
    • This highlights the critical role of advanced imaging in managing challenging neurological pain conditions.

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