Lumbar disc disease - extrusion

Case contributed by Dr Eric F Greif

Presentation

Acute right leg and back pain with saddle anesthesia and poor rectal tone.

Patient Data

Age: 30
Gender: Female
MRI

At the level of L5-S1 there is approximately 1.5 x 1.2 cm sized disc extrusion in the right paracentral region causing mass-effect and displacement of the cauda equina to the left . There is compression of the right S1 nerve. Left neural foramina is patent. 

Case Discussion

The right paracentral disc extrusion and compression of the cauda equina (especially on the right) follows the clinical scenario. The diagnosis of cauda equina syndrome was made, and emergent surgery was performed.

PlayAdd to Share

Case information

rID: 29674
Case created: 12th Jun 2014
Last edited: 28th Apr 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.