Posterior epidural migration of sequestered lumbar disc fragment causing cauda equina syndrome

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Posterior epidural migration of sequestered lumbar disc fragment causing cauda equina syndrome.

Posterior epidural migration of free disc fragments is rare, and posterior migration of the free fragments causing cauda equina syndrome is exceptionally rare. This report describes a 53-year-old man with disc fragment extrusion at the levels of L3-4 and a 54-year-old man with disc fragment extrusion at L5-S1 intervertebral space. The patients responded well to the operative therapy with comple...

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Posterior Epidural Migration of a Sequestered Lumbar Intervertebral Disc Fragment.

AIM Posterior epidural migration of a sequestered lumbar intervertebral disc fragment (PEMSLIDF) is an extremely rare condition published so far only as case reports or small case series (ranging between 2 to 8 cases). Diagnosing this condition is often challenging and the diagnosis is usually made intraoperatively. The affected patients usually suffer cauda equina syndrome (CES). In the presen...

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Posterior Epidural Migration of a Sequestrated Lumbar Disk Fragment Causing Cauda Equina Syndrome in an Old Patient: A Case Report

Disk fragment relocation is commonly limited to the anterior epidural space, although posterior epidural movement of a sequestrated disk piece to the posterior epidural space is infrequent. We present an uncommon case of dorsal extradural sequestration of lumbar disk herniation. A 77-year-old man presented with severe leg pain, low back pain, and urinary incontinence. Deep tendon reflexes were ...

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Cauda equina syndrome from lumbar disc herniation.

The syndrome can progress to paraplegia with rectal and urinary incontinence and represents a surgical emergency.1 Sixty percent of patients are male with a mean age of 42 years, and 82% have a history of chronic low-back pain. In two-thirds of patients, the syndrome is associated with trauma or injury.2 However, cauda equina syndrome should be considered in patients whose chronic back pain has...

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Posterior epidural migration of herniated lumbar disc fragment.

OBJECT Posterior epidural migration of a free disc fragment in the lumbar region is a very rare condition that has only been reported in isolated cases to date. Patients with this condition present with radiculopathy or major neurological deficits. Difficulties in diagnosis and the choice and timing of surgical treatment are important in these cases. In this clinical case series, features of ca...

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ژورنال

عنوان ژورنال: Coluna/Columna

سال: 2013

ISSN: 1808-1851

DOI: 10.1590/s1808-18512013000100018