Unusual Presentation of Bilateral Foraminal Disc Herniation
Soonchunhyang Medical Science
;
: 180-184, 2016.
Article
in English
| WPRIM
| ID: wpr-94566
ABSTRACT
A 64-year-old woman was admitted to Soonchunhyang University Seoul Hospital due to the aggravation of bilateral radicular pain for one month prior to her visit. She had a 30 years history of low back pain and intermittent bilateral radiating pain. A magnetic resonance imaging scan revealed a bilateral space-occupying lesion in the L5 foramen. A sagittal computed tomography scan showed a disc space-narrowing, vacuum-containing, and widening of the neural exit foramen with thinning of the pedicle and posterior vertebral body scalloping. An axial scan showed that the space-occupying lesion contained calcification and had eroded the surrounding bony structure. During surgical exploration, the atrophic L5 nerve root was identified over the mass-like lesion, and the lesion was shown to be a result of a hard, extruded disc fragment. A bilateral foraminal disc is a very rare condition that when it progresses chronically and gradually, can erode adjacent bony structures. Specific precautions are necessary during fusion surgery with a pedicle screw.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Magnetic Resonance Imaging
/
Low Back Pain
/
Cytochrome P-450 CYP1A1
/
Diagnostic Errors
/
Pectinidae
/
Pedicle Screws
/
Seoul
/
Intervertebral Disc
/
Neurilemmoma
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Soonchunhyang Medical Science
Year:
2016
Type:
Article
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