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Related Experiment Video

Updated: Mar 3, 2026

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
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Lumbar disc herniation presenting with contralateral symptoms: a case report.

Zhi Sheng Darren Koh1, Shuxun Lin1, Hwee Weng Dennis Hey1

  • 1University Orthopaedics, Hand and Reconstructive Microsurgery Cluster (UOHC), National University Health System, Singapore.

Journal of Spine Surgery (Hong Kong)
|April 25, 2017
PubMed
Summary

A left lumbar disc herniation at L5/S1 can cause contralateral symptoms, initially treated with a foraminal block. Subsequent ipsilateral symptoms led to successful microdiscectomy.

Keywords:
Prolapsed discherniated discintervertebral disc displacementnerve root disordernerve root inflammation

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Area of Science:

  • Neurosurgery
  • Radiology
  • Pain Management

Background:

  • Lumbar disc herniation is a frequent condition often causing pain.
  • Magnetic resonance imaging (MRI) is crucial for diagnosing lumbar disc herniation and identifying the spinal level.
  • Typically, disc herniations cause symptoms on the same side (ipsilateral), but contralateral presentations are rare.

Observation:

  • This report details a unique case of a left-sided L5/S1 disc herniation presenting with right-sided (contralateral) symptoms.
  • Initial treatment involved a right L5/S1 foraminal block, which provided temporary relief.

Findings:

  • The patient later developed ipsilateral symptoms consistent with the left L5/S1 disc herniation.
  • A left L5/S1 microdiscectomy was performed, successfully resolving the patient's symptoms.

Implications:

  • This case highlights the possibility of contralateral symptoms from lumbar disc herniation.
  • It underscores the importance of considering atypical presentations in diagnosing and treating spinal conditions.
  • Successful surgical intervention (microdiscectomy) is a viable option for persistent or recurrent symptoms.