Lumbar disc herniation with caudal migration

Case contributed by Adesola Asaleye


Low back pain for 4 months.

Patient Data

Age: 40 years
Gender: Female

There is a central posterior disc herniation at L4-5 with caudal continuation of the disc material causing an anterior dural indentation. 

Incidentally noted, left ovarian cyst with thin wall and clear fluid content.

Case Discussion

Focal disc migration is defined as a condition where a detached piece of the nucleus pulposus migrates from its intradiscal location. Herniation usually occurs in relatively young patients when intradiscal pressure remains high. Disc herniation may occur in any direction.

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