Sequestrated lumbar disc fragment

Case contributed by Dr Douglas Henry

Presentation

Low back pain and left leg paresthesias.

Patient Data

Age: 74 years
Gender: Male

Sagittal T2-weighted MR image of the lumbar spine at the midline plane reveals a mass lesion  with hyperintensity relative to the intervertebral disk at the posterior epidural space at the L3 level, compressing the dura. In sagittal T1-weighted the mass is not evident because is isointense to CSF. On sagittal and axial T1 +Gad, the mass shows low signal intensity with peripheral contrast enhancement.

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Case information

rID: 39594
Case created: 10th Sep 2015
Last edited: 23rd Apr 2017
System: Spine
Inclusion in quiz mode: Included

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