Unusual Presentation of Extruded Disc: A Case Report

Authors

  • Rajesh Pratap Shah Department of Orthopaedics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
  • Bishnu Babu Thapa Department of Orthopaedics, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal https://orcid.org/0000-0003-1052-9488
  • Sujata Panta Department of Radiology, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
  • Kabita Birat Karmacharya Department of Pathology, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal

DOI:

https://doi.org/10.31729/jnma.5993

Keywords:

back pain, dorsal disc extrusion, lumbar herniation, unusual presentation

Abstract

A 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.

Additional Files

Published

2021-02-28

How to Cite

Shah, R. P., Thapa, B. B. ., Panta, S., & Karmacharya, K. B. (2021). Unusual Presentation of Extruded Disc: A Case Report . Journal of Nepal Medical Association, 59(234), 207–209. https://doi.org/10.31729/jnma.5993

Issue

Vol. 59 No. 234 (2021): JNMA: Published Monthly

Section

Case Reports

License

Copyright (c) 2021 Rajesh Pratap Shah, Bishnu Babu Thapa, Sujata Panta, Kabita Birat Karmacharya

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