caa a22 4500 445833408 CHVBK 20180317145322.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1585-5 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1585-5 Cervical cord compression presenting with sciatica-like leg pain [Elektronische Daten] [Chee Chan, Ho-Yeon Lee, Won-Chul Choi, Ji Cho, Sang-Ho Lee] Sciatica-like leg pain can be the main presenting symptom in patients with cervical cord compression. It is a false localizing presentation, which may lead to missed or delayed diagnosis, resulting in the wrong plan of management, especially in the presence of concurrent lumbar lesions. Medical history, physical findings and the results of imaging studies were reviewed in two cases of cervical cord compressions, which presented with sciatica-like leg pain. There was multi-level cervical spondylosis with cord compression in the first patient and the second patient had two levels of cervical disc herniation with cord compression. In both cases, there were co-existing lumbar lesions, which could be responsible for the presentation of the leg pain. Cervical blocks were diagnostic in identifying the level responsible for the leg pain and it was confirmed so after cervical decompressive surgery in both cases, which brought significant pain relief. Funicular leg pain is a rare presentation of cervical cord compression. It is a referred pain due to the irritation of the ascending spinothalamic tract. Cervical blocks were successful in identifying the cause of funicular pain in our cases and this may pave the way for further studies to establish the role of cervical blocks as a diagnostic tool for funicular pain caused by cord compression. Springer-Verlag, 2010 Cord compression nationallicence Cervical blocks nationallicence False localizing signs nationallicence Sciatica nationallicence Tract pain nationallicence Funicular pain nationallicence Chan Chee Department of Orthopaedic, Sarawak General Hospital, Kuching, Malaysia aut Lee Ho-Yeon Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut Choi Won-Chul Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut Cho Ji Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut Lee Sang-Ho Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut European Spine Journal Springer-Verlag 20(2011-07-01), 217-221 0940-6719 20<217 2011 20 586 https://doi.org/10.1007/s00586-010-1585-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1585-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chan Chee Department of Orthopaedic, Sarawak General Hospital, Kuching, Malaysia aut NATIONALLICENCE 700 1- Lee Ho-Yeon Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut NATIONALLICENCE 700 1- Choi Won-Chul Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut NATIONALLICENCE 700 1- Cho Ji Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut NATIONALLICENCE 700 1- Lee Sang-Ho Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Chungdam-dong, 135-100, Seoul, Korea aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 217-221 0940-6719 20<217 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer