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ID 36106
file
creator
Kolakshyapati, Manish
Adhikari, Rupendra B
Morishige, Mizuki
subject
CT with sagittal reconstruction
HLD
MRI
PRAS
NDC
Medical sciences
abstract
Herniated Lumbar Disc (HLD) may be associated with separation of the posterior ring apophysis of the adjacent vertebral body. It is often diffi cult to diagnose radiologically and may be confused with calcifi cation of the posterior vertebral structures. We report a 32 years old male, presenting with a history of low back pain radiating to the left lower limb and associated with tingling sensation and paresthesia. Magnetic Resonance Imaging (MRI) of lumbosacral (LS) spine revealed left L5-S1 lateral disc herniation compressing the exiting nerve root. CT scan with sagittal reconstruction of LS spine revealed PRAS of upper lip of S1 vertebra. L5 partial laminectomy and microdiscectomy with removal of the loose bony fragment was done. Post-operative MRI demonstrated decompression of the spinal canal and the neural foramen. We report this case to familiarize the clinicians with this clinical entity as it requires strong clinical suspicion coupled with sagittal reconstruction CT scan for diagnosis and extensive exposure with removal of loose fragments together with discectomy for adequate relief of the symptoms.
journal title
Nepal Journal of Neuroscience
volume
Volume 11
issue
Issue 1
start page
38
end page
42
date of issued
2014
publisher
Neuroscience Publishing Group
issn
1813-1948
language
eng
nii type
Journal Article
HU type
Journal Articles
DCMI type
text
format
application/pdf
text version
publisher
rights
(c) Neuroscience Publishing Group
department
Graduate School of Biomedical Science