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Revista Mexicana de Neurociencia

Academia Mexicana de Neurología, A.C.
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2008, Number 6

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Rev Mex Neuroci 2008; 9 (6)

Epidural dorsally sequestered lumbar disc herniation at L4-L5. Case report

Ávila RJ, Reyes RVA, Ulibarri-Vidales M, Ávila CR
Full text How to cite this article

Language: Spanish
References: 12
Page: 494-496
PDF size: 186.62 Kb.


Key words:

Dorsally migration, disc herniation, cauda equina syndrome.

ABSTRACT

We present the rare occurrence of cauda equina syndrome resulting from posterior epidural disc fragment migration at L4-L5, documented by MRI. The female patient had previously undergone discectomy for a lumbar extruded disc at L5-S1 and a DIAMÒ (Device for Intervertertebral Assisted Motion) placement. Resolution of sensory and motor deficits were achieved.


REFERENCES

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  2. Lichtor T. Posterior Epidural Migration of Extruded Lumbar Disk. Surg Neurol 1989; 32(4): 311-2.

  3. Robe P, Martin D, Lenelle J, Stevenaert A. Posterior epidural migration of sequestered lumbar disc fragments. J Neurosurg (Spine 2) 1999; 90(4): 264-6.

  4. Hodges SD, Humphreys SC, Eck JC, Covington LA. Posterior extradural disk fragment. J South Orthop Assoc 1999; 8(3): 222-8.

  5. Tatli M, Güzel A, Ceviz A, Karadag O. Posterior epidural migration of sequestered lumbar disc fragment causing cauda equina syndrome. Br J Neurosurg 2005; 19(3): 257-9.

  6. Kuzeyli K, Fakir E, Usul H, et al. Posterior epidural migration of lumbar disc fragments: report of three cases. Spine J 2003; 28(3): E64-7.

  7. Dösoglu M, Is M,Gezen F, Zigal MI. Posterior epidural migration of a lumbar disc fragment causing cauda equina syndrome: case report and review of the relevant literature. Eur Spine 2001; 10(4): 348-51.

  8. El Asri AC, Naame O, Akhaddar A, et al. Posterior epidural migration of lumbar disk fragments: report of two cases and review of the literature. Surg Neurol 2008. (Pub Med). [Consultado el 10 de marzo de 2008].

  9. Bonaroti EA, Welch WC. Posterior epidural migration of an extruded lumbar disc fragment causing cauda equina syndrome. Clinical and magnetic resonance imaging evaluation. Spine J 1998; 23(3): 378-81.

  10. Lakshmann P, Ahuja S, Lyons K, et al. Sequestered lumbar intervertebral disc in the posterior epidural space: a report on two cases and review of the literature. Spine J 2006; 6(5): 583-6.

  11. Shapiro S. Medical realities of cauda equina syndrome secondary to lumbar disc herniation. Spine J 2000; 25(3): 348-51.

  12. Phillips FM, Voronov LI, Gaitanis IN, et al. Biomechanics of posterior dynamic stabilizing device (DIAM) after facetectomy and discectomy. Spine J 2006; 6(6): 714-22.




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Rev Mex Neuroci. 2008;9