Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report
John C Hawkins1, Vitaliy P Natkha2, Jason Seibly3
1Neurosurgery, Advocate Bromenn Medical Center.
Abstract:
We report an uncommon case of posterior epidural migration of a lumbar disc fragment (PEMLDF) in a patient presenting with acute, progressive back pain, radiculopathy, and weakness. PEMLDF can be mistaken for neoplastic or infectious etiologies on imaging, presenting a diagnostic and management challenge. Our patient underwent an urgent decompressive lumbar laminectomy, which revealed a PEMLDF intraoperatively. He went on to achieve good neurologic recovery.
Insights
We describe a rare case of posterior epidural migration of a lumbar disc fragment (PEMLDF) causing severe back pain and neurological deficits. Prompt surgical decompression led to a good recovery, highlighting the importance of considering PEMLDF in differential diagnoses.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Neurology
Background:
- Posterior epidural migration of a lumbar disc fragment (PEMLDF) is an uncommon condition.
- It can mimic neoplastic or infectious spinal pathologies on imaging.
- This poses diagnostic and management challenges.
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