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Updated: May 13, 2026

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Published on: October 14, 2022
Lumbar disc herniation associated with contralateral neurological deficit: can venous congestion be the cause?
Orhan Kalemci1, Ceren Kizmazoglu, Ercan Ozer
1Department of Neurosurgery, Dokuz Eylül Üniversity School of Medicine, Inciralti, Izmir, Turkey.
Abstract:
Lumbar disc herniation (LDH) associated with a contralateral neurological deficit is sometimes encountered by surgeons. Compression against the opposite pedicle in case of a large discal herniation and prominent stenotic changes of contralateral side are held responsible for contralateral symptoms and findings. In this study, we report a case of LDH associated with a painless contralateral neurological deficit. Prominent venous engorgement and congestion at the contralateral side of discal herniation were detected during the operation. It's treatment with bipolar coagulation and significant improvement was seen after the operation.
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