Lumbosacral radiculopathy: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Lumbosacral radiculopathy: clinical features. Central prolapse affects the cauda equina. Fully referenced neurology checklist.

Anatomy of L4-L5 disc prolapse

  • Central prolapse affects the cauda equina
  • Posterolateral prolapse affects the L5 nerve root
  • Very lateral prolapse affects the L4 nerve root
  • Very medial prolapse affects the S1 nerve root

Differentiating features

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Red flags for sinister causes

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References

  1. Brazis PW, Masdeu JC, Biller J. Localization in Clinical Neurology. Lippincott Williams & Wilkins philadelphia 2007 p95.
  2. Patten JP. Neurological Differential Diagnosis 2nd edition. Springer New York 1996 p311.

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