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A review of clinical presentation of forty surgically proven cases of lumbar canal stenosis revealed three main types of symptom complexes. The commonest presentation was in the form of chronic onset-claudication type; as observed in most of the cases with idiopathic stenosis (28 cases). Insidious onset-radicular type of presentation was observed in 8 cases, who had degenerative changes as the dominant lesion with pre-existing idiopathic stenosis. Acute disc like presentation was observed in 4 cases, who had associated disc prolapse. Combined type of stenosis was the commonest.