Cauda equina compression from disc extrusion

Case contributed by RMH Core Conditions

Presentation

Right sided sciatica. New onset left sided weakness and parathesia. Altered para-anal sensation and urinary retention.

Patient Data

Age: 38
Gender: Female

The conus and lower thoracic cord are normal.

L4/5 large extruded disc occupying almost all of the cross sectional area of the canal at this level. Severe cauda equina compression.

No foraminal extension. L5/S1 and L3/4 disks dessicated, but no significant canal stenosis or nerve root compression.

Conclusion:

Very large L4/5 disc extrusion with marked cauda equina compression.

Case Discussion

Patient proceeded to theatre for discectomy. 

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Case information

rID: 34110
Case created: 4th Feb 2015
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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