Giroud M, Guard O, Audry D, Soichot P, Dumas R
Ann Med Interne (Paris). 1985;136(7):566-71.
The authors recall the possibility of a typical sciatica in multiple sclerosis and describe seven new cases. Their main clinical features are: early onset before any other signs of the disease, hyperalgic, paroxysmal, short, repetitive episodes, absence of mechanical or effort triggers, absence of improvement with rest or anti-inflammatory drugs, well defined course. The intra-medullar origin of these attacks is suggested by the clinical criteria and the aspect of evoked potentials of the lower limbs recorded in 2 of the 7 patients.
作者回顾了多发性硬化症中典型坐骨神经痛的可能性,并描述了7例新病例。其主要临床特征为:在疾病的任何其他体征出现之前早期发作,疼痛过敏、阵发性、短暂、反复发作,无机械性或用力诱发因素,休息或使用抗炎药物后无改善,病程明确。7例患者中有2例记录的下肢诱发电位表现及临床标准提示这些发作起源于髓内。