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Published article
Protruded disc fragments that penetrate the posterior longitudinal ligament (PLL) migrate rostral or caudal in the vertical plane, some laterally in the horizontal plane, or into the foramina involving the anterior aspect of the spinal canal. Often, there is migration to the ventral epidural space. However, posterior epidural migration of a lumbar disc herniation (PEMLDH) is a rare phenomenon that makes the differential diagnosis challenging. We describe a rare case of anterior-to-posterior…
Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Cureus. 2022 Aug 1;14(8):e27568. doi: 10.7759/cureus.27568. eCollection 2022 Aug.
ABSTRACT
Protruded disc fragments that penetrate the posterior longitudinal ligament (PLL) migrate rostral or caudal in the vertical plane, some laterally in the horizontal plane, or into the foramina involving the anterior aspect of the spinal canal. Often, there is migration to the ventral epidural space. However, posterior epidural migration of a lumbar disc herniation (PEMLDH) is a rare phenomenon that makes the differential diagnosis challenging. We describe a rare case of anterior-to-posterior epidural migration of a lumbar disc herniation at the L1-L2 level. It was treated microsurgically after total laminectomy, and total resection of the lesion was carried out. PEMLDH is a unique condition causing neurological deficits at different levels. Due to different localization of disc herniations, optimal diagnosis becomes critical for determining the timing and type of treatment surgically.
PMID:36059329 | PMC:PMC9432426 | DOI:10.7759/cureus.27568
The London Spine Unit : finest spinal clinic in London
Read the original publication:
Anterior-to-Posterior Epidural Migration of a Lumbar Disc Herniation at L1-L2: A Case Report