Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report

We report an uncommon case of posterior epidural migration of a lumbar disc fragment (PEMLDF) in a patient presenting with acute, progressive back pain, radiculopathy, and weakness. PEMLDF can be mistaken for neoplastic or infectious etiologies on imaging, presenting a diagnostic and management chal...

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Detalles Bibliográficos
Autores principales: Hawkins, John C, Natkha, Vitaliy P, Seibly, Jason
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Neurosurgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6075642/
https://www.ncbi.nlm.nih.gov/pubmed/30087815
http://dx.doi.org/10.7759/cureus.2739
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author Hawkins, John C
Natkha, Vitaliy P
Seibly, Jason
author_facet Hawkins, John C
Natkha, Vitaliy P
Seibly, Jason
author_sort Hawkins, John C
collection PubMed
description We report an uncommon case of posterior epidural migration of a lumbar disc fragment (PEMLDF) in a patient presenting with acute, progressive back pain, radiculopathy, and weakness. PEMLDF can be mistaken for neoplastic or infectious etiologies on imaging, presenting a diagnostic and management challenge. Our patient underwent an urgent decompressive lumbar laminectomy, which revealed a PEMLDF intraoperatively. He went on to achieve good neurologic recovery.
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spelling pubmed-60756422018-08-07 Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report Hawkins, John C Natkha, Vitaliy P Seibly, Jason Cureus Neurosurgery We report an uncommon case of posterior epidural migration of a lumbar disc fragment (PEMLDF) in a patient presenting with acute, progressive back pain, radiculopathy, and weakness. PEMLDF can be mistaken for neoplastic or infectious etiologies on imaging, presenting a diagnostic and management challenge. Our patient underwent an urgent decompressive lumbar laminectomy, which revealed a PEMLDF intraoperatively. He went on to achieve good neurologic recovery. Cureus 2018-06-05 /pmc/articles/PMC6075642/ /pubmed/30087815 http://dx.doi.org/10.7759/cureus.2739 Text en Copyright © 2018, Hawkins et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Hawkins, John C
Natkha, Vitaliy P
Seibly, Jason
Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report
title Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report
title_full Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report
title_fullStr Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report
title_full_unstemmed Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report
title_short Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report
title_sort posterior epidural migration of a lumbar disc herniation causing cauda equina syndrome: a case report
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6075642/
https://www.ncbi.nlm.nih.gov/pubmed/30087815
http://dx.doi.org/10.7759/cureus.2739
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