• Ned Tijdschr Geneeskd · Nov 2001

    Case Reports

    [Nocturnal back pain; a misdiagnosed symptom of spinal tumor].

    • R J Groen, J A Kuster, D P Noske, S I Tjahja, and L de Vries.
    • Slotervaart Ziekenhuis, afd. Neurochirurgie, Louwesweg 6, 1066 EC Amsterdam. ncrgo@slz.nl
    • Ned Tijdschr Geneeskd. 2001 Nov 3; 145 (44): 2134-8.

    AbstractFour patients had nocturnal back pain or pain that worsened when lying down. In one of these, a 49-year-old man, the medical history mentioned a malignancy, as a result of which a spinal metastasis was suspected. In the other three patients, a 52-year old woman and two men aged 48 and 60 years, the nocturnal back pain and the back pain worsening when lying down was not recognised as indication of a spinal tumour. As objective neurological symptoms were not established at initial investigation, a long period of discomfort and frustration followed before the spinal tumour was diagnosed eventually. The importance of recognising these early complaints is stressed. Nowadays, MRI is the technique of choice to answer the question whether there is a space occupying process in the spine.

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