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Neurology (Expert Forum)
Glutenal Neuralgia
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Glutenal Neuralgia
by Mary, Oct 12, 1999 12:00AM
My Pain Management specialist has diagnosed my pain in the lower left side of my sacroiliac as Superior Glutenal Neuralgia and also iliolumbar sprain. Can you tell me something about both of these. I have burning in my sacroiliac area and pain and sometimes numbness going down my left thigh. All this was caused by a fall down the stairs accident....plus more problems.
Thank you
Thank you
Doctor's Answer
"A transitional S1 vertebral body is thought to be present, which is labeled as such for the purposes of the dictation. There is a small disc space at the S1-2 level. degenerative changes are noted at the S1 joints bilaterally, greater on the right than on the left. Small bridging osteophytes are noted on the right.
The sagittal reconstructions demonstrate mild disc space narrowing at L4-5 and L5-S1. There are shallow Schmorl's nodes involving the endplates from L2-3 to L5-S1. The soft tissue windows demonstrate mild atherosclerotic changes of the abdominal aorta and proximal iliacs. There is no aneurysm identified, althought he entire aorta is not include on the images.
The L2-3 and L3-4 discs are unremarkable. There is no focal disc abnormality or significant steosis appreciated at these levels. Early degenerative facet joint changes are present hbilaterally at L3-4 with vacuum phenomenon noted on the left.
At L4-5 there is a mild diffuse bulging pattern of the disc. Borderline to mild central spinal canal stenosis is though to be present in conjunction with mild degeneraive facet join changes. There is no focal disc protrusion seen. There is minimal effacement of the inferior foraminal fat bilaterally by the dis material.
At L5-S1 htere is a moderate degree of central spinal canal stenosis secondary to a diffuse posterior disc bulge with a central superimposed protruding pattern, in conjunction with degenerative facet joint changes. There is no focal foraminal disc abnormality. Mild inferior foraminal narrowing is though to be present bilaterally in conjunction with mild bony endpalate changes and a diffuse bulging patter of the disc. The remainder of the examination is unremarkable.
Impression: (1) Diffuse disc bulges are present at L4-5 and L5-S1. There is a superimposed protruding pattern in the midline at L5-S1. Mild to moderate central spinal canal stenosis is present at L5-S1 with boderline to mild central spinal canal stenosis at L4-5 in conjunctin with detenerative changes of the posterior elements at both levels. (2) Degenerative changes of the S1 joints are present bilaterally, greater on the right than on the left."
I notice that there is a Cleveland Clinic in Ft Lauderdale. Is this a branch of your clinic? I live in Central Florida. Thank you so much.