LOW BACK PAIN: ALWAYS A NEUROLOGICAL PROBLEM? A CASE OF LERICHE SYNDROME IN A WOMAN

M. Bonetti¹*, M. Frigerio¹, G. Ottaviani², G. Sabetta³, R. Degliuomini³ and S. Bonetti⁴

¹Neuroradiology Department, Clinical Institute, Città di Brescia, Brescia, Italy;
²Emergency Department, Civil Hospitals of Brescia, Brescia, Italy;
³Vita-Salute San Raffaele University, Milan, Italy;
⁴Gynaecological Department, Clinical Institute, Città di Brescia, Brescia Italy

*Correspondence to:
Matteo Bonetti, MD
Neuroradiology Department,
Clinical Institute, Città di Brescia,
Via Gualla 15, 25128 Brescia, Italy
e-mail: dottorbonetti@gmail.com

Received: 04 January 2023 Accepted: 10February2023Biolife-Publisher.it © 2023

ISSN: 2038-4106 This publication and/or article is for individual use only and may not be further reproduced without written permission from the copyright holder. Unauthorized reproduction may result in financial and other penalties. Disclosure: All authors report no conflicts of interest relevant to this article

ABSTRACT

Leriche syndrome is defined as a rare obliteration of the aortic bifurcation. It is characterized by a typical triad in male patients: claudication, erectile dysfunction and decreased distal pulses. The leading cause of this syndrome is atherosclerosis. Possible differential diagnoses include vascular and neurological diseases. We report a case of a 54-year-old woman whose main complaint was low back pain. The initial (wrong) diagnosis was spinal disc herniation, causing neuropathy. The use of computerized tomography led to the correct diagnosis: aortoiliac occlusive disease (Leriche Syndrome).

KEYWORDS: Leriche syndrome, atherosclerosis, aortoiliac occlusive disease, arteriopathy, low back pain, neuropathic pain