PubMed Health⌕ Search

Biomedical subjects

B Pinel

Publications and source records attributed to B Pinel.

10 recordsLinked to original sources
PubMed1985

[Fasting and postprandial blood glucose in subjects with crural pain and sciatica].

The search for diabetes in a patient with crural neuralgia is well established practice. The prevalence of diabetes in the general population is not known, and studies attempting to demonstrate a relationship between diabetes and radiculopathies have been inconclusive. In the present study, fasting and postprandial blood glucose determinations, as well as 14 other parameters, were analyzed in 88 patients with classical sciatica, 27 with crural neuralgia, and 42 with only back pain. Multidimensional statistical analysis revealed that patients with crural neuralgia were older than those with classical sciatica or only back pain, and that there were no differences in blood glucose regulation. The concept that diabetes is found more frequently in patients with crural neuralgia should be revised, since age appears to be the only factor responsible for changes in glucose regulation.

Adult↗
PubMedDate not supplied

[Sciatic foramina radiculalgia. Apropos of 16 cases].

Over a period of six years, the authors have seen sixteen cases of foraminal sciatica with an L5 topography which possesses the following unusual clinical features: long history of back pain with a grumbling course and without any acute episodes, progressive sciatica without any predisposing factors, paresthesiae particularly on standing with normal amipaque saccoradiculography and unresponsive to medical treatment. The operative finding in all of these patients was a disc compression in the intervertebral foramen (hernia, disc residue or softened disc), which was frequently associated with factors reducing the calibre of the foramen: abnormal position of the root and lowering of the pedicular roof caused by lumbosacral disc degeneration. This multi-factorial compression therefore required, depending on the case, curettage of the disc or a localized annulectomy combined with a facettectomy. The long term results of the operation can be considered to be favourable, in view of the long history of root pain (an average of 4 years) which largely explains the incomplete nature of the post-operative success.

Adult↗