What may initially appear to be a classic presentation of a common condition—in this case sciatic radiculopathy from presumed disc herniation—can sometimes reflect a more ominous process. This article discusses the presentation, diagnosis, and management of a patient initially referred for neurosurgical consultation for S1 radiculopathy suspected to be due to a work-related injury. Final diagnosis was metastatic adenocarcinoma of the rectum.
Questions or comments about this article may be directed to: Mark C. Coles, MSN BA RN CCRN NP-C, by phone at 757/460-0455 or by e-mail at firstname.lastname@example.org. He is a nurse practitioner at Atlantic Neurosurgery, Virginia Beach, VA.
© 2004 American Association of Neuroscience Nurses