• JNMA J Nepal Med Assoc · Feb 2021

    Case Reports

    Unusual Presentation of Extruded Disc: A Case Report.

    • ShahRajesh PratapRPDepartment of Orthopaedics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal., ThapaBishnu BabuBBDepartment of Orthopaedics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal., Sujata Panta, and Kabita Birat Karmacharya.
    • Department of Orthopaedics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
    • JNMA J Nepal Med Assoc. 2021 Feb 28; 59 (234): 207-209.

    AbstractA 38-year male presented with severe low back pain radiating towards right lower limb which was progressively increasing with decrease in motor power of the ipsilateral ankle dorsiflexion and toe extension. Magnetic Resonance study with gadolinium suggested dorsal epidural migration of the extruded disc at L4-L5 level compressing the thecal sac, which mimics the differential diagnosis epidural abscess, epidural hematoma, synovial cyst and extradural space-occupying lesion. Open lumbar discectomy was done, and the large, herniated disc was found dorsal to the thecal sac adhering dura mater, which was removed meticulously and the patient was symptomatically better postoperatively. The power of his lower limb gradually increased by physiotherapy in subsequent follow-up.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…