TY - JOUR
T1 - Traumatic lumbar disc extrusion mimicking spinal epidural hematoma: Case report and literature review
AU - Iacopino, Domenico
AU - Maugeri, Rosario
AU - Graziano, Francesca
AU - Gulì, Carlo
AU - Pino, Maria Angela
AU - Basile, Luigi
AU - Gerardi, Rosa Maria
AU - Brunasso, Lara
AU - Iacopino, Domenico Gerardo
AU - Nicoletti, Giovanni Federico
AU - Tumbiolo, Silvana
AU - Brunasso, Lara
AU - Tumbiolo, Susanna
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
UR - http://hdl.handle.net/10447/491938
M3 - Article
VL - 11
SP - 1
EP - 4
JO - Surgical Neurology International
JF - Surgical Neurology International
SN - 2152-7806
ER -