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[Nocturnal back pain; a misdiagnosed symptom of spinal tumor].
- Source :
-
Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2001 Nov 03; Vol. 145 (44), pp. 2134-8. - Publication Year :
- 2001
-
Abstract
- Four patients had nocturnal back pain or pain that worsened when lying down. In one of these, a 49-year-old man, the medical history mentioned a malignancy, as a result of which a spinal metastasis was suspected. In the other three patients, a 52-year old woman and two men aged 48 and 60 years, the nocturnal back pain and the back pain worsening when lying down was not recognised as indication of a spinal tumour. As objective neurological symptoms were not established at initial investigation, a long period of discomfort and frustration followed before the spinal tumour was diagnosed eventually. The importance of recognising these early complaints is stressed. Nowadays, MRI is the technique of choice to answer the question whether there is a space occupying process in the spine.
- Subjects :
- Circadian Rhythm
Decompression, Surgical
Diagnosis, Differential
Female
Humans
Liposarcoma, Myxoid complications
Liposarcoma, Myxoid secondary
Liposarcoma, Myxoid surgery
Magnetic Resonance Imaging
Male
Middle Aged
Neurilemmoma complications
Neurilemmoma surgery
Spinal Cord Compression etiology
Spinal Cord Compression surgery
Spinal Cord Neoplasms complications
Spinal Cord Neoplasms secondary
Spinal Cord Neoplasms surgery
Supine Position
Treatment Outcome
Back Pain etiology
Liposarcoma, Myxoid diagnosis
Neurilemmoma diagnosis
Spinal Cord Compression complications
Spinal Cord Neoplasms diagnosis
Subjects
Details
- Language :
- Dutch; Flemish
- ISSN :
- 0028-2162
- Volume :
- 145
- Issue :
- 44
- Database :
- MEDLINE
- Journal :
- Nederlands tijdschrift voor geneeskunde
- Publication Type :
- Academic Journal
- Accession number :
- 11723757