Acute bilateral foot drop due to lumbar disc herniation treated by bilateral interlaminar approach: case report and literature review

Foot drop due to lumbar disc herniation (LDH) is a relatively common finding in spinal practice. Bilateral foot drop (BFD) due to LDH is an extremely rare condition with only a few reported cases. We describe the case of a middle-aged man presenting with a rapid onset BFD with back and leg pain. Urg...

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Bibliographic Details
Published in:British journal of neurosurgery 2023-08, Vol.37 (4), p.899-901
Main Authors: Marchesini, Nicolò, Ricci, Umberto Maria, Soda, Christian, Teli, Marco
Format: Article
Language:English
Subjects:
Case reports
Cauda Equina
Humans
Intervertebral Disc Displacement - complications
Intervertebral Disc Displacement - diagnostic imaging
Intervertebral Disc Displacement - surgery
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Lumbosacral Region - surgery
Male
Middle Aged
Pain
Peroneal Neuropathies
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Summary:Foot drop due to lumbar disc herniation (LDH) is a relatively common finding in spinal practice. Bilateral foot drop (BFD) due to LDH is an extremely rare condition with only a few reported cases. We describe the case of a middle-aged man presenting with a rapid onset BFD with back and leg pain. Urgent MRI revealed an L4-L5 centrally located LDH with bilateral compression of the L5 nerve roots and the cauda equina centrally. About 4 h after presentation surgery was performed adopting a bilateral L4-L5 interlaminar approach and the prolapsed disc was removed. Nine months after surgery, the patient showed a complete recovery of his deficit. We discuss the advantages of this approach in this urgent situation and we compare it with other techniques.
ISSN:0268-8697
1360-046X
DOI:10.1080/02688697.2020.1713992