Non-contiguous post-traumatic double-level lumbar disc prolapse presenting with acute monoparesis

Siam, Ahmed Ezzat; Alhashash, Mohamed; Addin, Hossam Sad; Alsingaby, Hisham; Boehm, Heinrich

doi:10.1007/s12570-014-0273-z

Cited by 1 publication

(2 citation statements)

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“…They reported a 56-year-old man with right lower limb weakness after a road traffic accident. On radiological evaluation, a two-level lumbar disc herniation was identified at L3-L4 and L5-S1 levels on the right side, which was managed surgically 6 .…”

Section: Discussionmentioning

confidence: 99%

“…We present a rare case of post-traumatic cauda equina syndrome, which was initially thought to be spinal epidural hematoma (SEH) but, intraoperatively, turned out to be double-level disc herniation. In the literature, only 6 cases of traumatic lumbar disc herniation have been reported, with 5 of them occurring at a single level [6][7][8][9][10][11] (Table I). So far, there is only 1 case of double-level lumbar disc herniation that has been reported by Siam et al in 2014.…”

Section: Discussionmentioning

confidence: 99%

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Double Level Non-Contiguous Traumatic Lumbar Disc Herniation Presenting With Cauda Equina Syndrome

Naik,

Ramachandran,

Prasad Shetty

et al. 2024

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Case: A 52-year-old man presented with cauda equina syndrome after a motorcycle accident. Magnetic resonance imaging revealed traumatic disc herniation, at L2-L3 and L5-S1 levels without bony injury. He was managed successfully by wide laminectomy and microdiscectomy at both levels with complete neurological recovery at 2-month follow-up. Conclusion: With a reported incidence of 0.4%, traumatic disc herniation in the lumbar region is an uncommon occurrence that may resemble a spinal epidural hematoma in acute trauma. Although MRI may not reliably differentiate spinal epidural hematoma from disc herniation, urgent surgical intervention may be required in profound neurological deficits.

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Section: Discussionmentioning

confidence: 99%