What is it about?
Clinicians should suspect a spinal cord lesion as a cause of sciatic pain when patients fail to improve with treat- ment, have a broad sensorimotor distribution unexplained by lumbar imaging findings, hyperreflexia/patho- logical reflexes, or other atypical findings (eg, negative neural tension tests). In such cases, MRI of the cervical and thoracic spine may be indicated.
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Why is it important?
Sciatica, which is pain radiating along the sciatic nerve distribution, is most often caused by degenerative conditions of the lower back and rarely results from lesions of the spinal cord. This case report illustrates a pa- tient with suspected lumbar radiculopathy, ultimately diagnosed with a thoracic schwannoma after visiting a chiropractor.
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This page is a summary of: Thoracic Schwannoma as an Unusual Cause of Sciatic Pain in the Chiropractic Office: A Case Report, American Journal of Case Reports, October 2022, International Scientific Literature,
DOI: 10.12659/ajcr.938448.
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