Case Report : A case report highlighting bilateral EDB wasting as

Herein we discuss a case of a 55 year old male presenting with history suggestive of sciatica on the left leg. Straight leg raising (SLR) test was positive at 45 degrees on the left side. His ankle reflex was absent and the power of extensor hallusus longus (EHL) was 4/5 on the same side. MRI lumbosacral spine revealed left paramedian disc prolapsed on L4/L5 level with spinal canal diameter of 9mm.However since his bilateral extensor digitorm brevis (EDB) were wasted, we suspected associated lumbar canal stenosis and thereby opted for laminectomy and discectomy in this case. Intraoperatively dural wasting, hypertrophied facets and narrow canal were confirmed. Laminectomy, medial facectectomy and discectomy were carried out. The patient recovered uneventfully with resolution of his sciatica-like pain. Bilateral EDB wasting thereby provides a clinical clue to the underlying lumbar canal stenosis and can help in making correct therapeutic decisions. Sunil Munakomi ( ) Corresponding author: [email protected] Kumar BM and Munakomi S. How to cite this article: Case Report: A case report highlighting bilateral EDB wasting as a clinical marker 2015, :467 (doi: for lumbar canal stenosis [version 1; referees: 2 approved, 1 approved with reservations] F1000Research 4 ) 10.12688/f1000research.6865.1 © 2015 Kumar BM and Munakomi S. This is an open access article distributed under the terms of the Copyright: Creative Commons Attribution , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Licence The authors declared that no grants were involved in supporting this work. Grant information: The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: No competing interests were disclosed. 04 Aug 2015, :467 (doi: ) First published: 4 10.12688/f1000research.6865.1 Referee Status: