Exacerbation of Symptoms of Lumbar Disc Herniation Complicated by a Schwannoma: A Case Report
| Autor: | Yueh-Min Lin, Sen-Yung Liu, Chen-Chen Liu, Shan-Ju Lin, Chii-Wen Chou, Ta-Sen Wei |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Spinal stenosis medicine.medical_treatment Physical examination Cauda equina syndrome Lumbar vertebrae Lumbar Discectomy medicine Humans Polyradiculopathy cauda equina syndrome schwannoma Medicine(all) lcsh:R5-920 Lumbar Vertebrae Spinal Neoplasms medicine.diagnostic_test business.industry Laminectomy General Medicine Middle Aged medicine.disease Low back pain intervertebral disc herniation Surgery medicine.anatomical_structure Radiology medicine.symptom business lcsh:Medicine (General) Intervertebral Disc Displacement Neurilemmoma |
| Zdroj: | Kaohsiung Journal of Medical Sciences, Vol 23, Iss 9, Pp 480-485 (2007) |
| Popis: | Herniation of the lumbar disc is a common cause of low back pain. Conservative management with physiotherapy, such as lumbar spine traction, is usually effective. Although a schwannoma of the lumbar spine is relatively uncommon, the clinical manifestations are similar to those of lumbar disc herniation, making the diagnosis difficult. This case report describes a 51-year-old male who had suffered from low back pain for 3 years and who was diagnosed with L2/L3 lumbar disc herniation. The low back pain was well-controlled by conservative treatment and the symptoms improved progressively. Two months prior to our evaluation, however, the symptoms worsened acutely, and were accompanied by the onset of symptoms of cauda equina syndrome. A small tumor at the site of the L2/L3 disc herniation, observed incidentally during magnetic resonance imaging, was responsible for the symptoms of spinal stenosis at the lumbar region. The patient underwent laminectomy, tumor resection, and discectomy with near-complete resolution of symptoms. In patients with lumbar disc herniation that improves with conservative treatment, the recurrence of symptoms should prompt a thorough review of the medical history, physical examination, and imaging studies to establish the diagnosis and prevent delay in treatment. |
| Databáze: | OpenAIRE |
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