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Neurologische Erkrankungen als Differenzialdiagnose bei Beschwerden in der Becken-Bein-Region

Neurological diseases as differential diagnoses for symptoms in the pelvic region and lower extremities

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Zusammenfassung

Bei unklaren Schmerzzuständen im Becken-Bein-Bereich ist die Frage nach der Beteiligung des neuromuskulären Systems ein wichtiger Beitrag zur Feststellung der Ursache. Häufig werden Erkrankungen der Wirbelsäule oder bandscheibenbedingte Läsionen der Nervenwurzeln vermutet. Neben den radikulären und intermittierend auftretenden Ursachen kommen lokale Prozesse der Wirbelsäule und des Beckens, Schmerzausstrahlungen und -projektionen, Läsionen der Nervengeflechte und Einzelnerven sowie selten zentrale Ursachen in Betracht. Die Definition und Abgrenzung neuropathischer Schmerzsyndrome sind diagnostisch wichtig und bilden die Grundlage der Therapie.

Abstract

In patients with unclear pain syndromes in the pelvic region and legs, the investigation of the contribution of the neuromuscular system is an essential part of the differential diagnosis. Diseases of the vertebral column or intervertebral disc-related lesions of nerve roots are often suspected. In addition to radicular and intermittent neurological causes, local lesions of the vertebral column, the pelvic region, referred pain and pain projections, lesions of the nerve plexus, mononeuropathies, and, rarely central lesions need to be considered. The definition, interpretation, and differentiation of neuropathic pain syndromes is important, and of diagnostic and therapeutic relevance.

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Authors and Affiliations

  1. Ludwig Boltzmann Institut für Experimentelle und Klinische Traumatologie, Donaueschingenstraße 13, 1200, Wien, Österreich

    W. Grisold

  2. Neurologische Universitätsklinik, Wien, Österreich

    A. Grisold

Authors
  1. W. Grisold
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  2. A. Grisold
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Correspondence to W. Grisold.

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Interessenkonflikt

W. Grisold und A. Grisold geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Additional information

Dieser Beitrag beruht auf einem Vortrag gehalten auf dem Kongress „Konservative Orthopädie im Fokus“ in Pörtschach im Juli 2017.

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Grisold, W., Grisold, A. Neurologische Erkrankungen als Differenzialdiagnose bei Beschwerden in der Becken-Bein-Region. Manuelle Medizin 56, 23–29 (2018). https://doi.org/10.1007/s00337-017-0356-3

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