Posterior migration of a lumbar disc herniation as a cause of cauda equina syndrome

Posterior épidural migration of a lumbar disc herniation is rare. Clinical symptoms frequently indicate severe radicular compression. Cauda equina syndrome is very unusual. Three cases of cauda equina syndrome from posterior epidural migration of a lumbar disc herniation along with a review of the l...

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Bibliographic Details
Published in:Journal de radiologie 2009-06, Vol.90 (6), p.731-733
Main Authors: Elgamri, A, Sami, A, Aqqad, A, Hilmani, S, Ibahioin, K, Naja, A, El Kamar, A, El Azhari, A
Format: Article
Language:fre
Subjects:
Adult
Aged
Diagnosis, Differential
Epidural Space - pathology
Female
Foreign-Body Migration - diagnosis
Foreign-Body Migration - surgery
Humans
Intervertebral Disc - pathology
Intervertebral Disc Displacement - complications
Intervertebral Disc Displacement - diagnosis
Intervertebral Disc Displacement - surgery
Laminectomy
Lumbar Vertebrae - pathology
Lumbar Vertebrae - surgery
Magnetic Resonance Imaging
Male
Middle Aged
Neurologic Examination
Polyradiculopathy - diagnosis
Polyradiculopathy - surgery
Spinal Cord Compression - diagnosis
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Summary:Posterior épidural migration of a lumbar disc herniation is rare. Clinical symptoms frequently indicate severe radicular compression. Cauda equina syndrome is very unusual. Three cases of cauda equina syndrome from posterior epidural migration of a lumbar disc herniation along with a review of the literature are presented to illustrate the Imaging features of this entity and related diagnostic difficulties. Finaly, early surgical management is the treatment of choice for optimal symptomatic recovery.
ISSN:0221-0363
DOI:10.1016/S0221-0363(09)74728-6