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Diagnostik und konservative Therapie zervikaler und lumbaler Spinalkanalstenosen

BackgroundDegenerative stenotic spondylosis is not an uncommon cause of cervical spondylotic myelopathy (CSM) and cauda equina lesions in the aged population. Limited standardization exists with respect to diagnostic and therapeutic procedures.ObjectiveLiterature review with respect to diagnostic an...

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Bibliographic Details
Main Authors: Hug, Andreas (Author) , Hähnel, Stefan (Author) , Weidner, Norbert (Author)
Format: Article (Journal)
Language:German
Published: 16 April 2018
In: Der Nervenarzt
Year: 2018, Volume: 89, Issue: 6, Pages: 620-631
ISSN:1433-0407
DOI:10.1007/s00115-018-0516-2
Online Access:Verlag, Volltext: https://doi.org/10.1007/s00115-018-0516-2
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Author Notes:A. Hug, S. Hähnel, N. Weidner

MARC

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520 |a BackgroundDegenerative stenotic spondylosis is not an uncommon cause of cervical spondylotic myelopathy (CSM) and cauda equina lesions in the aged population. Limited standardization exists with respect to diagnostic and therapeutic procedures.ObjectiveLiterature review with respect to diagnostic and therapeutic procedures for neurologically relevant cervical and lumbar spinals stenosis.Material and methodsComprehensive literature review.Results and conclusionClinical neurological examination and diagnostic imaging are fundamental for the diagnosis of neurologically relevant cervical and lumbar spinal stenosis. Additional laboratory blood and cerebrospinal fluid testing might be required for a differential diagnosis. Neurophysiological testing is reserved for specific clinical problems. The clinical evidence for the efficacy of conservative therapeutic strategies is limited. 
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