Midline prolapse of an intervertebral disc at high-level lumber vertebra.

Midline prolapse of a lumbar intervertebral disc with compression of the cauda equina.

Midline prolapse of a disc causing compression of the cauda equina is rare but needs urgent diagnosis and surgical treatment. The onset of bladder and rectal paralysis with saddle anaesthesia should be viewed with a high index of suspicion in a patient with backache and sciatica. Eight cases were seen over a period of five years, and they fell into three clinical groups. Group I patients presen...

Treatment of lumbar intervertebral disc prolapse.

Outcome of single level intervertebral disc prolapse treated with interlaminar lumbar discectomy by fenestration

Background: Low back pain due to lumbar disc prolapse is the major cause of morbidity throughout the world affecting mainly young adults. Different surgical techniques for lumbar discectomy are in vogue with the aim of least possible damage to other structures while dealing with the prolapsed disc. This short term prospective study was done to assess the functional outcome interlaminar fenestra...

Thoracic intervertebral disc prolapse with spinal cord compression.

The serious disorders of nervous function which may result from central protrusions of the intervertebral disc are exemplified in the thoracic region of the spine where this type of prolapse has acquired -a sinister reputation, and the few cases treated by operation that have so far been reported bear witness to the severe damage that these protrusions inflict on the spinal cord and to the grav...

High Signal Intervertebral Disc in T1W MRI

Dear editor: We present two cases of high signal intervetebral disc in T1-weighted MRI with the differential diagnoses. The first case was a 60-year-old obese man who presented with back pain. The patient underwent an MR examination with a 0.3T permanent scanner (Hitachi, IRIS-II Japan). Spin–echo T1W, T2W images in orthogonal planes and STIR sequences were also obtained (Fig. 1). Hypersignal i...