Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case Report
Several anatomic factors like midline septum, lateral peridural membrane and epidural fat prevent dorsal migration of disc fragment. Hence, dorsal epidural migration of lumbar disc has a rare occurrence. It has a propensity to present with cauda equina syndrome. Epidural disc fragments mimic benign...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2021-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/15672/50593_CE_F(SHU)_PF1(SG_SS)_PN(KM).pdf |
| _version_ | 1819097528433377280 |
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| author | Vijayanand Balasubramanian Kevin Dhas Rajavel Kalirajan |
| author_facet | Vijayanand Balasubramanian Kevin Dhas Rajavel Kalirajan |
| author_sort | Vijayanand Balasubramanian |
| collection | DOAJ |
| description | Several anatomic factors like midline septum, lateral peridural membrane and epidural fat prevent dorsal migration of disc fragment. Hence, dorsal epidural migration of lumbar disc has a rare occurrence. It has a propensity to present with cauda equina syndrome. Epidural disc fragments mimic benign masses and hence poses a diagnostic challenge. The prognosis is good compared to other types of disc prolapse when surgical decompression is done early. A 45-year-old male labourer presented with chronic lower back pain with recent onset of motor weakness in right lower limb and bladder disturbance. Magnetic Resonance Imaging (MRI) showed a huge sequestrated L4-L5 disc. Emergency decompression with laminectomy was done and a large fragment of sequestrated disc found in posterior epidural space was removed. Symptoms improved dramatically following surgery within 10 days. Awareness about this rare disc prolapse is important for timely diagnosis and management of it. |
| first_indexed | 2024-12-22T00:16:31Z |
| format | Article |
| id | doaj.art-569643f6515947a2a686516bd9374dd6 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T00:16:31Z |
| publishDate | 2021-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-569643f6515947a2a686516bd9374dd62022-12-21T18:45:18ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-11-011511010310.7860/JCDR/2021/50593.15672Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case ReportVijayanand Balasubramanian0 Kevin Dhas1Rajavel Kalirajan2Professor, Department of Orthopaedics, SRM Medical College, Chennai, Tamil Nadu, IndiaPostgraduate, Department of Orthopaedics, SRM Medical College, Chennai, Tamil Nadu, IndiaAssociate Professor, Department of Orthopaedics, SRM Medical College, Chennai, Tamil Nadu, India.Several anatomic factors like midline septum, lateral peridural membrane and epidural fat prevent dorsal migration of disc fragment. Hence, dorsal epidural migration of lumbar disc has a rare occurrence. It has a propensity to present with cauda equina syndrome. Epidural disc fragments mimic benign masses and hence poses a diagnostic challenge. The prognosis is good compared to other types of disc prolapse when surgical decompression is done early. A 45-year-old male labourer presented with chronic lower back pain with recent onset of motor weakness in right lower limb and bladder disturbance. Magnetic Resonance Imaging (MRI) showed a huge sequestrated L4-L5 disc. Emergency decompression with laminectomy was done and a large fragment of sequestrated disc found in posterior epidural space was removed. Symptoms improved dramatically following surgery within 10 days. Awareness about this rare disc prolapse is important for timely diagnosis and management of it.https://jcdr.net/articles/PDF/15672/50593_CE_F(SHU)_PF1(SG_SS)_PN(KM).pdfemergency decompressionlow back painposterior epidural space |
| spellingShingle | Vijayanand Balasubramanian Kevin Dhas Rajavel Kalirajan Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case Report Journal of Clinical and Diagnostic Research emergency decompression low back pain posterior epidural space |
| title | Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case Report |
| title_full | Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case Report |
| title_fullStr | Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case Report |
| title_full_unstemmed | Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case Report |
| title_short | Dorsal Epidural Migration of Lumbar Disc Fragment Causing Cauda Equina Syndrome- A Case Report |
| title_sort | dorsal epidural migration of lumbar disc fragment causing cauda equina syndrome a case report |
| topic | emergency decompression low back pain posterior epidural space |
| url | https://jcdr.net/articles/PDF/15672/50593_CE_F(SHU)_PF1(SG_SS)_PN(KM).pdf |
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