Abstract

Localization of pain on the posterior surface of the legs may be indicative of a condition other than the classical sciatica. Although the majority of the classical signs of the latter affection may be present in a given case, nevertheless an error may be committed if a careful examination of the objective sensory disturbances is not made. The mode of distribution of a sensory diminution or exaggeration is an important matter from a diagnostic standpoint. When a peripheral nerve trunk, for example, is affected, the hypoesthesia or anesthesia accompanying the condition is distributed irregularly, in plaques, so to speak, and assumes either a longitudinal or oblique arrangement. When the root of the same nerve trunk is involved the sensory disturbance will be present in a longitudinal form regularly distributed and running parallel with the axis of the limb. We have to deal here with a radicular sensory trouble. In order

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