Inspanningsgebonden pijn in het bovenbeen: neurogeen of vasculair?

The case histories of three patients, two men 63 and 47 years old and a 67-year-old woman, who attended the neurology outpatient clinic with pain in the buttock and thigh are described. In all patients the suspected diagnosis was lumbar spinal stenosis or lateral recess stenosis. However, after an assessment of all three patients atherosclerotic arterial disease was diagnosed, or so-called ‘proximal without distal claudication’. They were referred to a vascular surgeon. Two patients underwent percutaneous transluminal angioplasty, the other walking training, with all three reporting improvement of their symptoms. Buttock claudication of vascular origin may mimic symptoms of lumboradicular origin.

Conflict of interest: none declared. Financial support: none declared.