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Ruptured S1-S2 disc presenting with S2 radiculopathy.

M W Nabors1, F D Cooney

  • 1Department of Neurological Surgery, George Washington University, Washington, District of Columbia.

Neurosurgery
|February 1, 1989
PubMed
Summary
This summary is machine-generated.

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A sacral disc rupture caused numbness in a 61-year-old man. Surgical removal of the ruptured disc material resolved the symptoms, suggesting laminectomy as a treatment.

Area of Science:

  • Neurology
  • Neurosurgery
  • Spinal Cord Medicine

Background:

  • Spinal disc herniation typically affects lumbar or cervical regions.
  • Sacral disc herniation is rare, with limited documented cases.
  • Understanding sacral disc pathologies is crucial for diagnosing and treating rare neurological deficits.

Observation:

  • A 61-year-old male presented with new-onset numbness affecting the right penis, scrotum, and perineum.
  • The onset of symptoms coincided with a forceful physical activity (jumping into a swimming pool).
  • Neurological examination and imaging revealed a lesion at the S1-S2 level compressing the right S2 nerve root.

Findings:

  • Magnetic resonance imaging (MRI) and computed tomographic (CT) scans identified a lesion impinging on the S2 nerve root.

Related Experiment Videos

  • Surgical exploration revealed extruded disc material originating from an atypical location.
  • Histopathological analysis confirmed the presence of ruptured disc material.
  • Post-operative resolution of the sensory deficit in the perineal region was observed.

    • Implications:

    • This case highlights a rare instance of sacral disc herniation causing specific neurological symptoms.
    • The findings suggest that forceful activities can precipitate sacral disc rupture in susceptible individuals.
    • Laminectomy and surgical excision of the extruded disc material proved effective, supporting this as a viable treatment modality.
    • Further research into the biomechanics and etiology of sacral disc herniation is warranted.