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2026, Number 2

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Acta Med 2026; 24 (2)

Extreme extraforaminal lateral disc herniation

Alcocer MJL, Domínguez GLG, Domínguez CLG
Full text How to cite this article 10.35366/122627

DOI

DOI: 10.35366/122627
URL: https://dx.doi.org/10.35366/122627

Language: Spanish
References: 5
Page: 165-167
PDF size: 806.13 Kb.


Key words:

lateral extreme disc herniations, extraforaminal extrusion, radicular compression.

ABSTRACT

Lateral extreme disc herniations represent between 0.7 and 11.7% of all lumbar herniations classified as intraforaminal or extraforaminal, with respect to the foramen, described by Abdullah in 1974; the L4/L5 level is commonly affected. The dorsal root ganglion compression is the cause of the pain intensity; pain irradiation does not always occur in the dermatomal segment corresponding to the image, reported in more than 60% in the immediate root proximal to the extreme lateral lumbar disc herniation. Extreme lateral lumbar disc herniation.


REFERENCES

  1. Epstein NE. Evaluation of varied surgical approaches used in themanagement of 170 far-lateral lumbar disc herniations: indicationsand results. J Neurosurg. 1995; 83 (4): 648-656. Available in: doi.org/10.3171/jns.1995.83.4.0648

  2. Porchet F, Fankhauser H, de Tribolet N. Extreme lateral lumbar discherniation: clinical presentation in 178 patients. Acta Neurochir.1994; 127: 203-209. Available in: doi.org/10.1007/BF01808767

  3. Abdullah AF, Wolber GP, Warfield RJ, Gunadi IK. Surgical managementof extreme lateral lumbar disc herniations: review of 138 cases.Neurosurgery. 1988; 22: 648-653.

  4. Kim DG, Eun JP, Park JS. New diagnostic tool for far lateral lumbardisc herniation: the clinical usefulness of 3-tesla magnetic resonancemyelography comparing with the discography CT. J Korean NeurosurgSoc. 2012; 52 (2): 103-106. Available in: doi.org/10.3340/jkns.2012.52.2.103

  5. De Zavalía M, Gobbi E, Yeregui S. Hernia extraforaminal en elespacio L5-S1 tratada por abordaje transfacetario endoscópico.Presentación de un caso y nota técnica. Rev Asoc Argent OrtopTraumatol. 2024; 89: 70-75. Disponible en: doi.org/10.15417/issn.1852-7434.2024.89.1.1856




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C?MO CITAR (Vancouver)

Acta Med. 2026;24