Impending Discectomy in a Patient with Zoster Induced Sciatica An Instructive Case Report
Herpes zoster is a rare cause of non-discogenic sciatica. A combination of case rarity and name similarity was nearly leading to an inopportune surgery in a 21 years old woman. The clinical presentation was completely similar to a cauda equina syndrome associated with urinary incontinence and bilate...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Iran University of Medical Sciences
2015-04-01
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| Series: | Basic and Clinical Neuroscience |
| Subjects: | |
| Online Access: | http://bcn.iums.ac.ir/browse.php?a_code=A-10-287-2&slc_lang=en&sid=1 |
| Summary: | Herpes zoster is a rare cause of non-discogenic sciatica. A combination of case rarity and
name similarity was nearly leading to an inopportune surgery in a 21 years old woman. The
clinical presentation was completely similar to a cauda equina syndrome associated with urinary
incontinence and bilateral leg involvement. Concurrently, lumbosacral imaging of another patient
with exactly similar name in the picture archiving communications system (PACS) has shown
a huge L5-1 disc herniation. Careful attention to all diverse causes of sciatica and identifying
details of the images could prevent improper discectomy in our patient. |
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| ISSN: | 2008-126X 2228-7442 |