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Posterior migration of lumbar disc herniation: A case report – Lumbar Spinal Stenosis

The article discusses a rare case of posterior epidural migration of herniated lumbar disc fragments, which can result in significant neurological deficits. The case involves a 49-year-old man who presented with severe low back pain and weakness in the long extensor muscle of the hallux. MRI of the lumbar spine revealed a posterior epidural lesion at the L4-L5 level, which was found to be an intervertebral disc fragment. The patient underwent decompressive laminectomy to remove the fragment, and his condition improved after the surgery. The study highlights the importance of recognizing this rare pathological entity and the potential for successful surgical intervention

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Posterior epidural migration of herniated lumbar disc fragments is a rare pathological entity. This can lead to major neurological deficits. Here, we present a rare case of sequestrated lumbar disc fragment migration into the epidural space. A 49-year-old-man presented with severe low back pain and weakness of the long extensor muscle of the hallux. MRI of the lumbar spine revealed posterior epidural lesion at the L4-L5 level. The disc fragment was isointense on T1 and T2-weighted Images (WI)….

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Radiol Case Rep. 2023 Dec 28;19(3):1097-1099. doi: 10.1016/j.radcr.2023.12.019. eCollection 2024 Mar.ABSTRACTPosterior epidural migration of herniated lumbar disc fragments is a rare pathological entity. This can lead to major neurological deficits. Here, we present a rare case of sequestrated lumbar disc fragment migration into the epidural space. A 49-year-old-man presented with severe low back pain and,

Radiol Case Rep. 2023 Dec 28;19(3):1097-1099. doi: 10.1016/j.radcr.2023.12.019. eCollection 2024 Mar.

ABSTRACT

Posterior epidural migration of herniated lumbar disc fragments is a rare pathological entity. This can lead to major neurological deficits. Here, we present a rare case of sequestrated lumbar disc fragment migration into the epidural space. A 49-year-old-man presented with severe low back pain and weakness of the long extensor muscle of the hallux. MRI of the lumbar spine revealed posterior epidural lesion at the L4-L5 level. The disc fragment was isointense on T1 and T2-weighted Images (WI). The mass lesion was removed after decompressive laminectomy. Pathological investigation revealed an intervertebral disc fragment. The patient’s condition improved postoperatively.

PMID:38229608 | PMC:PMC10789931 | DOI:10.1016/j.radcr.2023.12.019

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Posterior migration of lumbar disc herniation: A case report

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Radiol Case Rep. 2023 Dec 28;19(3):1097-1099. doi: 10.1016/j.radcr.2023.12.019. eCollection 2024 Mar.ABSTRACTPosterior epidural migration of herniated lumbar disc fragments is a rare pathological entity. This can lead to major neurological deficits. Here, we present a rare case of sequestrated lumbar disc fragment migration into the epidural space. A 49-year-old-man presented with severe low back pain and

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