Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case report

Lumbar disc herniation with dorsal epidural migration is a rare clinical condition that can present with severe neurological deficit and cauda equina syndrome. Diagnosis poses a challenge as it mimics other dorsal epidural pathologies like tumors, cysts, and abscesses. Timely diagnosis and early sur...

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Main Authors: Samarth Mittal, Bhupendra P Bharti, Rajesh Verma, Puneet Girdhar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Indian Spine Journal
Subjects:
Online Access:http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=108;epage=111;aulast=Mittal
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author Samarth Mittal
Bhupendra P Bharti
Rajesh Verma
Puneet Girdhar
author_facet Samarth Mittal
Bhupendra P Bharti
Rajesh Verma
Puneet Girdhar
author_sort Samarth Mittal
collection DOAJ
description Lumbar disc herniation with dorsal epidural migration is a rare clinical condition that can present with severe neurological deficit and cauda equina syndrome. Diagnosis poses a challenge as it mimics other dorsal epidural pathologies like tumors, cysts, and abscesses. Timely diagnosis and early surgical intervention with wide decompression can improve the neurological outcome. Minimally invasive technique has the advantage of minimal muscle damage, early rehabilitation, and equal clinical outcomes to those of standard laminectomy. In this report, we describe a case of a 63-year-old male with lumbar disc herniation at L3-L4 level with foraminal extension and dorsal epidural migration with neurological deficit managed by minimally invasive microtubular decompression and spinal stabilization.
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spelling doaj.art-485323c62fc34d3dbaa282d28e6d0b7f2024-03-25T10:58:51ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872024-01-017110811110.4103/isj.isj_53_23Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case reportSamarth MittalBhupendra P BhartiRajesh VermaPuneet GirdharLumbar disc herniation with dorsal epidural migration is a rare clinical condition that can present with severe neurological deficit and cauda equina syndrome. Diagnosis poses a challenge as it mimics other dorsal epidural pathologies like tumors, cysts, and abscesses. Timely diagnosis and early surgical intervention with wide decompression can improve the neurological outcome. Minimally invasive technique has the advantage of minimal muscle damage, early rehabilitation, and equal clinical outcomes to those of standard laminectomy. In this report, we describe a case of a 63-year-old male with lumbar disc herniation at L3-L4 level with foraminal extension and dorsal epidural migration with neurological deficit managed by minimally invasive microtubular decompression and spinal stabilization.http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=108;epage=111;aulast=Mittaldisc herniationlumbar spineminimally invasive surgeryneurological deficitpedicle screws
spellingShingle Samarth Mittal
Bhupendra P Bharti
Rajesh Verma
Puneet Girdhar
Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case report
Indian Spine Journal
disc herniation
lumbar spine
minimally invasive surgery
neurological deficit
pedicle screws
title Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case report
title_full Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case report
title_fullStr Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case report
title_full_unstemmed Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case report
title_short Dorsal epidural migration of lumbar disc herniation at L3-L4 level treated by minimally invasive microtubular decompression and fixation: A case report
title_sort dorsal epidural migration of lumbar disc herniation at l3 l4 level treated by minimally invasive microtubular decompression and fixation a case report
topic disc herniation
lumbar spine
minimally invasive surgery
neurological deficit
pedicle screws
url http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=108;epage=111;aulast=Mittal
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