An elderly woman with intermittent claudication

  • NN Wazir
Keywords: Intermittent claudication, misdiagnosis, spinal stenosis

Abstract

This case report illustrates the misdiagnosis of intermittent claudication in an elderly with multiple cardiac risk factors. Careful clinical evaluation and imaging shifts the diagnosis from peripheral vascular disease to spinal stenosis. The decision whether to offer conservative therapy or proceed to spinal surgery requires an accurate assessment of the severity of the symptoms without ignoring the important role of patient preferences.

References

Alvarez JA, Hardy RH Jr. Lumbar spine stenosis: a common cause of back and leg pain. Am Fam Physician. 1998 Apr 15;57(8):1825-34, 1839-40.

Dyck P, Doyle JP Jr. “Bicylcle test” of van Gelderen in diagnosis of intermittent cauda equina compression syndrome. Case report. J Neurosurg. 1977 May;46(5):667-70.

Snyder DL, Doggett D, Turkelson C. Treatment of degenerative lumbar spinal stenosis. Am Fam Physician. 2004 Aug 1;70(3):517-20.

Published
2006-03-31
How to Cite
WazirN. (2006). An elderly woman with intermittent claudication. Malaysian Family Physician, 1(1), 2. Retrieved from https://www.e-mfp.org/ojs3/index.php/MFP/article/view/230
Section
Original Articles