Lumbar disc extrusion with cauda equina compression

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Loss of sensation S1 right;Decreased sensation L5/S1 right buttock-perianal sensation intact. Complete loss of sensation right and absent ? left fine. Right S1 compression with buttock numbness and absent plantar reflex.

Patient Data

Age: 40 years
Gender: Female

Normal alignment.  No osseous abnormality.

Large L5/S1 right paracentral disc extrusion with cranially ascent of the disc. The disc fills the right sided of the central canal compressing the thecal sac and the descending right S1 nerve root.

The remaining disc levels are normal.

Case Discussion

Large L5/S1 disc extrusion with cauda equina compression.

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