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Lumbar Disc Herniation Associated with Contralateral Neurological Deficit: Can Venous Congestion Be the Cause?

Lumbar disc herniation (LDH) associated with a contralateral neurological deficit is sometimes encountered by surgeons. Compression against the opposite pedicle in case of a large discal herniation and prominent stenotic changes of contralateral side are held responsible for contralateral symptoms a...

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Detalles Bibliográficos
Autores principales: Kalemci, Orhan, Kizmazoglu, Ceren, Ozer, Ercan, Arda, Mehmet Nuri
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Spine Surgery 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3596587/
https://www.ncbi.nlm.nih.gov/pubmed/23508891
http://dx.doi.org/10.4184/asj.2013.7.1.60
Descripción
Sumario:Lumbar disc herniation (LDH) associated with a contralateral neurological deficit is sometimes encountered by surgeons. Compression against the opposite pedicle in case of a large discal herniation and prominent stenotic changes of contralateral side are held responsible for contralateral symptoms and findings. In this study, we report a case of LDH associated with a painless contralateral neurological deficit. Prominent venous engorgement and congestion at the contralateral side of discal herniation were detected during the operation. It's treatment with bipolar coagulation and significant improvement was seen after the operation.