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Updated: Feb 11, 2026

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
Published on: April 7, 2023
[Coexistence of a disc herniation and psoas hematoma revealed by L3 deficiency]
J S Bemora1,2, M Labidi2, P Marijon2
1Département de Neurochirurgie, Centre Hospitalier Universitaire Antananarivo Hôpital Universitaire Joseph Ravoahangy Andrianavalona (CHUA-HUJRA) Madagascar.
Abstract:
Radiculopathy is a constellation of symptoms secondary to a pathology affecting the nerve root, the most frequent cause of which is a herniated intervertebral disc. We report a case of a 58-year-old man under anticoagulant admitted to the neurosurgery department of Lariboisière hospital (Paris) for an L3 motor deficit that occurred progressively over a period of 24 hours with an L3-L4 disc herniation on the MRI. However, a psoas hematoma was also noted. Biological assessments revealed a hemostasis disorder. The final clinical diagnosis was a spontaneous hematoma caused by anticoagulant overdose. Psoas hematomas usually occur in patients with coagulopathy.
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