[Skip to Navigation]
June 1946


Author Affiliations


From the Department of Medicine (Neurology), New York Hospital, and Cornell University Medical College.

Arch NeurPsych. 1946;55(6):573-577. doi:10.1001/archneurpsyc.1946.02300170017002

IN RECENT years a common neurologic disease called sciatic neuritis has been found to be caused, in the majority of cases, by herniation of the nucleus pulposus in a lower lumbar intervertebral disk with pressure on nerve roots of the cauda equina. Aware of the belief of some authors that primary sciatic neuritis is a distinct clinical entity (Alpers, Gaskill and Weiss1), I maintain that the symptoms and signs of herniation of the nucleus pulposus in the fourth or fifth lumbar intervertebral disk are indistinguishable from the well defined syndrome that was formerly called sciatic neuritis. Cessation of pain after removal of herniated nuclei has been so impressive that whenever this characteristic syndrome appears the question of spinal operation demands consideration. However, cessation of pain has been observed without spinal operation with sufficient frequency to justify the assumption that the defect may be repaired by natural processes. Indeed, there

Add or change institution