[New data on qualification of effectivity of balneotherapy in sciatica].
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Atypical sciatic pain without apparent discogenic origin should raise the possibility of a non-discogenic etiology, especially tumoral but also infectious or inflammatory. We report the case of a young patient presenting with non-discogenic S1 radiculopathy due to sciatic nerve involvement in the subpiriformis canal secondary to piriformis muscle inflammation. The authors review technical considerations and results of MRI which is of great value in the evaluation of piriformis muscle pathology.
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Cyst of the longitudinal posterior ligament of the spine is a new entity described here on the basis of 10 cases. This is a lesion, perhaps of traumatic origin, which occurs in young, athletic subjects suffering from classical lumbosciatica. Computerized tomography showed an image resembling nucleus pulposus herniation. In one of our cases magnetic resonance imaging provided the preoperative diagnosis. Following surgery the outcome was favourable, with less postoperative complications than with discal herniation. The macroscopic and histological findings were the same in all cases, making the anatomico-pathological diagnosis easy.
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