S1 radiculopathy due to adenocarcinoma: a case study.

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.