Mostofi Keyvan, Gharaie Moghaddam Babak, Karimi Khouzan Reza, Daryabin Mathieu
Neurosurgery, Centre Clinical de Soyaux, 2 chemin de Fregeneuil, 16800 Soyaux, France.
Department of Neurosurgery, Neurosurgical Clinic of Dr. Gharaei, Mousivand Avenue, Number 12, Tehran, Iran.
J Clin Neurosci. 2018 Apr;50:102-104. doi: 10.1016/j.jocn.2018.01.025. Epub 2018 Feb 21.
Although not as frequent as sciatica, cruralgia remains one of the most frequent reasons why people consult a neurosurgeon. It should be kept in mind, however, that every anterior leg pain is not cruralgia and thus several diagnoses must be discarded, such as of musculoskeletal diseases of hip, pelvis and femur. In the last years of the 19th century, André Léri, a French neurologist, described Leri's sign as it is used widely even today in everyday clinical practice. We studied retrospectively files of those patients who were seen in Neurosurgery by the authors for L3 and L4 nerve root compression to evaluate the reliability and accuracy of this sign. Between October 1998 and September 2017, 38,654 patients were examined in our department of Neurosurgery. Among them, 1698 patients presented pain as cruralgia and meralgia. In total, 1545 patients were included in the study. The data analysis showed that the sensitivity of LS was 0.9333 and the specificity 0.7974. The results of the study show a reliable diagnostic accuracy of Leri's sign.
虽然股痛不像坐骨神经痛那么常见，但它仍然是人们咨询神经外科医生的最常见原因之一。然而，应该记住，并非所有的前腿痛都是股痛，因此必须排除几种诊断，如髋部、骨盆和股骨的肌肉骨骼疾病。在19世纪的最后几年，法国神经学家安德烈·勒里（André Léri）描述了勒里征，即使在今天的日常临床实践中，它仍被广泛使用。我们回顾性研究了作者在神经外科诊治的因L3和L4神经根受压而出现股痛的患者档案，以评估该体征的可靠性和准确性。在1998年10月至2017年9月期间，我们神经外科共检查了38654名患者。其中，1698名患者表现为股痛和股外侧皮神经痛。总共1545名患者被纳入研究。数据分析显示，勒里征的敏感性为0.9333，特异性为0.7974。研究结果表明勒里征具有可靠的诊断准确性。
