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ID 36106
本文ファイル
著者
Kolakshyapati, Manish
Adhikari, Rupendra B
Morishige, Mizuki
キーワード
CT with sagittal reconstruction
HLD
MRI
PRAS
NDC
医学
抄録(英)
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.
掲載誌名
Nepal Journal of Neuroscience
11巻
1号
開始ページ
38
終了ページ
42
出版年月日
2014
出版者
Neuroscience Publishing Group
ISSN
1813-1948
言語
英語
NII資源タイプ
学術雑誌論文
広大資料タイプ
学術雑誌論文
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
権利情報
(c) Neuroscience Publishing Group
部局名
医歯薬学総合研究科