A Severe Disc Herniation Mimics Spinal Tumor

Lumbar disc herniation (LDH) is prevalent among adults aged 25-55 years who spend a considerable proportion of their time sitting or standing with heavy workloads. We report the case of a 33-year-old male waiter with severe LDH, causing compression of the nerve roots and spinal cord with neurologica...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-03, Vol.15 (3), p.e36545
Main Authors: Chu, Eric Chun-Pu, Lin, Andy, Huang, Kevin Hsu Kai, Cheung, Gordon, Lee, Wai Ting
Format: Article
Language:English
Subjects:
Back pain
Bone cancer
Case reports
Chiropractic medicine
Cysts
Emergency medical care
Epidural
Hematoma
Integrative/Complementary Medicine
Magnetic resonance imaging
Medical diagnosis
Occupational Health
Orthopedics
Osteopathic Medicine
Patients
Quality of life
Range of motion
Spinal cancer
Spinal manipulation
Trauma
Tumors
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Summary:Lumbar disc herniation (LDH) is prevalent among adults aged 25-55 years who spend a considerable proportion of their time sitting or standing with heavy workloads. We report the case of a 33-year-old male waiter with severe LDH, causing compression of the nerve roots and spinal cord with neurological dysfunction, who presented to a chiropractic clinic. Magnetic resonance imaging (MRI) revealed a radiological differential diagnosis comprising LDH and an epidural mass lesion. To rule out serious pathology, a second MRI with contrast was ordered, which confirmed the diagnosis of severe LDH. Diagnosing large LDH may be challenging, and severe disc herniation often mimics spinal tumors. This study offers insights into the differential diagnosis of LDH and spinal tumors, as well as the design of a treatment strategy for severe LDH in the chiropractic clinic.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.36545