Publication: Unusual Presentation of Extruded Disc: A Case Report
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
AbstractZ:
A 38-year male presented with severe low back pain radiating towards right lower limb which was progressively increasing with decrease in motor power of the ipsilateral ankle dorsiflexion and toe extension. Magnetic Resonance study with gadolinium suggested dorsal epidural migration of the extruded disc at L4-L5 level compressing the thecal sac, which mimics the differential diagnosis epidural abscess, epidural hematoma, synovial cyst and extradural space-occupying lesion. Open lumbar discectomy was done, and the large, herniated disc was found dorsal to the thecal sac adhering dura mater, which was removed meticulously and the patient was symptomatically better postoperatively. The power of his lower limb gradually increased by physiotherapy in subsequent follow-up.
Description
Rajesh Pratap Shah
Department of Orthopaedics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Bishnu Babu Thapa
Department of Orthopaedics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
https://orcid.org/0000-0003-1052-9488
Sujata Panta
Department of Radiology, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Kabita Birat Karmacharya
Department of Pathology, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Keywords
back pain, dorsal disc extrusion, lumbar herniation, unusual presentation