Posterior Ring Apophysis Separation (PRAS) : A relatively rare clinical entity in adolescents & young adults
Nepal Journal of Neuroscience Volume 11 Issue 1
Page 38-42
published_at 2014
アクセス数 : 1029 件
ダウンロード数 : 152 件
今月のアクセス数 : 0 件
今月のダウンロード数 : 3 件
この文献の参照には次のURLをご利用ください : https://ir.lib.hiroshima-u.ac.jp/00036106
File | |
Title ( eng ) |
Posterior Ring Apophysis Separation (PRAS) : A relatively rare clinical entity in adolescents & young adults
|
Creator |
Kolakshyapati Manish
Adhikari Rupendra B
Morishige Mizuki
|
Source Title |
Nepal Journal of Neuroscience
|
Volume | 11 |
Issue | 1 |
Start Page | 38 |
End Page | 42 |
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.
|
Keywords |
CT with sagittal reconstruction
HLD
MRI
PRAS
|
NDC |
Medical sciences [ 490 ]
|
Language |
eng
|
Resource Type | journal article |
Publisher |
Neuroscience Publishing Group
|
Date of Issued | 2014 |
Rights |
(c) Neuroscience Publishing Group
|
Publish Type | Version of Record |
Access Rights | open access |
Source Identifier |
[ISSN] 1813-1948
|