Massive lumbar disc extrusion

Case contributed by Dr Fatima Ahmad

Presentation

Lower back pain and paraesthesia in the left buttock, left thigh and left side of vulva.

Patient Data

Age: 40 years
Gender: Female
MRI

Lumbar spine

Massive disc extrusion from the L4/L5 vertebral disc with caudal migration extending down to the S1 level. This causes cauda equina compression.

Further disc protrusion at the L5/S1 level also causes cauda equina compression but is less marked. 

Case Discussion

The patient had subsequent lumbar decompression and discectomies of both L4/L5 and L5/S1 levels.

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Case information

rID: 72179
Published: 14th Nov 2019
Last edited: 14th Nov 2019
Inclusion in quiz mode: Included
Institution: Southampton General Hospital NHS Trust

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