Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case report
Introduction: Posterior epidural migration of the lumbar disc fragment is a very rare pathological entity. The pathomechanisms remain unclear. Case presentation: The authors present the case of a 78-year-old Germans male with refractory low back pain. Contrast-MRI showed an epidural mass at the leve...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-03-01
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| Series: | Interdisciplinary Neurosurgery |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221475191730213X |
| _version_ | 1818187650671050752 |
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| author | Alaa Eldin Elsharkawy Evariste Gafumbegete Peter Douglas Klassen |
| author_facet | Alaa Eldin Elsharkawy Evariste Gafumbegete Peter Douglas Klassen |
| author_sort | Alaa Eldin Elsharkawy |
| collection | DOAJ |
| description | Introduction: Posterior epidural migration of the lumbar disc fragment is a very rare pathological entity. The pathomechanisms remain unclear. Case presentation: The authors present the case of a 78-year-old Germans male with refractory low back pain. Contrast-MRI showed an epidural mass at the level L1–2 with rim contrast enhancement. The preoperative diagnosis based on the clinical and history of the patient was most probably sequestrated disc fragment migrated posteriorly; differential diagnosis included all other causes of posteriorly located epidural mass.A left interlaminar approach L1–2 was performed. A sticky, capsulated, semi-hard and mobile mass was removed from the posterior epidural spaces. Intraoperative a lateral till the ventral disc fragments were found. An annular tear was found and discectomy was performed. Pathological examination showed a disc tissue with degenerative changes. The patient was pain-free until the last follow-up at 5months. Conclusions: Correlation between relevant clinical information and radiological finding may help to detect the posterior migrated disc fragment. |
| first_indexed | 2024-12-11T23:14:24Z |
| format | Article |
| id | doaj.art-cfba027584e34329b933ab020b7e78dc |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-11T23:14:24Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-cfba027584e34329b933ab020b7e78dc2022-12-22T00:46:36ZengElsevierInterdisciplinary Neurosurgery2214-75192018-03-01113133Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case reportAlaa Eldin Elsharkawy0Evariste Gafumbegete1Peter Douglas Klassen2Neurosurgery Department, Bonifatius Hospital, Lingen, Germany; Neurosurgery Teaching Program, University of Traditional Medicine, Yerevan, Armenia; Corresponding author at: Bonifatius Hospital, Wilhelmstr. 13, 49808 Lingen, Germany.Pathology Department, Ludmillenstift Hospital, Meppen, GermanyNeurosurgery Department, Bonifatius Hospital, Lingen, GermanyIntroduction: Posterior epidural migration of the lumbar disc fragment is a very rare pathological entity. The pathomechanisms remain unclear. Case presentation: The authors present the case of a 78-year-old Germans male with refractory low back pain. Contrast-MRI showed an epidural mass at the level L1–2 with rim contrast enhancement. The preoperative diagnosis based on the clinical and history of the patient was most probably sequestrated disc fragment migrated posteriorly; differential diagnosis included all other causes of posteriorly located epidural mass.A left interlaminar approach L1–2 was performed. A sticky, capsulated, semi-hard and mobile mass was removed from the posterior epidural spaces. Intraoperative a lateral till the ventral disc fragments were found. An annular tear was found and discectomy was performed. Pathological examination showed a disc tissue with degenerative changes. The patient was pain-free until the last follow-up at 5months. Conclusions: Correlation between relevant clinical information and radiological finding may help to detect the posterior migrated disc fragment.http://www.sciencedirect.com/science/article/pii/S221475191730213X |
| spellingShingle | Alaa Eldin Elsharkawy Evariste Gafumbegete Peter Douglas Klassen Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case report Interdisciplinary Neurosurgery |
| title | Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case report |
| title_full | Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case report |
| title_fullStr | Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case report |
| title_full_unstemmed | Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case report |
| title_short | Posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass: A case report |
| title_sort | posterior epidural migration of extruded lumbar disc fragment mimicking epidural mass a case report |
| url | http://www.sciencedirect.com/science/article/pii/S221475191730213X |
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