Case contributed by Dr Ahmed Abdrabou


Back pain and bilateral sciatica more on flexion.

Patient Data

Age: 30 years old
Gender: Male

L4-5 inflammatory process involving the vertebral end plates with associated destruction of the VEPs, marginal osteophytes with enhancement in post contrast images and extension of the enhancement to the paraspinal region. The disc substance is degenerated and shows diffuse annular bulge, obliterating the epidural fat and indents the ventral aspect of the thecal sac.

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Case information

rID: 30706
Published: 31st Aug 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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