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DOI: 10.12687/phleb2223-6-2014
Claudicatio spinalis
Article in several languages: English | deutschPublication History
Received:
22 July 2014
Accepted:
12 August 2014
Publication Date:
04 January 2018 (online)
Zusammenfassung
Die Claudicatio spinalis ist ein Leitsymptom der lumbalen Spinalkanalstenose und eine wichtige und häufige Differenzialdiagnose bei „Beinschmerzen“. Eine genaue Anamnese kann bei oft relativ unauffälliger klinischer Untersuchung bereits häufig zur richtigen (Vermutungs-)Diagnose führen, welche mittels Magnetresonanz-Tomographie oder Myelographie-CT bestätigt wird. Wenn keine relevanten neurologischen Ausfälle bestehen, kann zuerst konservativ mittels Analgesie, periduralen Kortisoninfiltrationen und Physiotherapie behandelt werden. Bei Versa-gen der konservativen Therapie oder bei Auftreten neurologischer Ausfälle profitieren die meisten Patienten von einer operativen Dekompression des Spinalkanals, je nach Be-fund mit eventuell zusätzlicher Stabilisation.
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