Traumatic lumbar disc extrusion mimicking spinal epidural hematoma: Case report and literature review

Domenico Iacopino, Rosario Maugeri, Francesca Graziano, Carlo Gulì, Maria Angela Pino, Luigi Basile, Rosa Maria Gerardi, Lara Brunasso, Domenico Gerardo Iacopino, Giovanni Federico Nicoletti, Silvana Tumbiolo, Lara Brunasso, Susanna Tumbiolo

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: Because the neurological presentation of spinal epidural hematomas (SEH) is often not specific, they may be misdiagnosed as acute lumbar disk herniations. Here, we present a case in which a traumatic disc extrusion mimicked an epidural hematoma and reviewed the appropriate literature. Case Description: A 27-year-old male sustained a high-energy fall. The lumbar MRI scan showed a L4-S1 ventral medium/high signal intensity mass on the T1- and high signal intensity lesion on T2-weighted images; the original diagnosis was spinal epidural hematoma. However, at surgery, consisting of a left L4 and L5 hemilaminectomy with L4-L5 and L5-S1 laminotomy, an extruded lumbar disc was encountered at the L4-L5 level and removed; no additional pathology or SEH was found at either level. Conclusion: On MR, SEH may mimic acute lumbar disk herniations. Depending on the clinical symptoms/signs, surgical intervention will both correctly confirm the diagnosis and relieve neural compression.
Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalSurgical Neurology International
Volume11
Publication statusPublished - 2020

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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