Spinal canal stenosis: assessment and management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Spinal canal stenosis: assessment and management. Cycling however increases the pain of vascular claudication. Fully referenced neurology checklist.
Bicycle test of Van Gelderen
- Cycling does not provoke spinal claudication pain as the trunk is flexed forward
- Cycling however increases the pain of vascular claudication
Straight leg raising test
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Lumbar extension test
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Magnetic resonance imaging (MRI): features
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Treatment
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References
- Fagius J, Wedterberg CE. Pseudoclaudication syndrome caused by a tumour of the cauda equina. JNNP 1979; 42:187-189.
- Stacpoole SRL, McGuigan C, Lewis SJG, et al. Spinal claudication due to myxopapillary ependymoma. Pract Neurol 2007; 7:394-396.
- Mazanek DJ, Podichetty VK, Hsia A. Lumbar canal stenosis: start with nonsurgical therapy. Cleve Clin J Med 2002; 69:909-917.
- Ciricillo SF, Weinstein PR. Lumbar spinal stenosis. West J Med 1993; 158:171-177.
- Patel N. Surgical disorders of the thoracic and lumbar spine: a guide for neurologists. JNNP 2002; 73(Suppl 1):i42–i48.
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