Lumbar disc herniation associated with contralateral neurological eficit: Can venous congestion be the cause?

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KALEMCİ O., KIZMAZOĞLU C., ÖZER E., Arda M. N.

Asian Spine Journal, vol.7, no.1, pp.60-62, 2013 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 7 Issue: 1
  • Publication Date: 2013
  • Doi Number: 10.4184/asj.2013.7.1.60
  • Journal Name: Asian Spine Journal
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.60-62
  • Keywords: Deficit, Neurologic, Venous congestion
  • Dokuz Eylül University Affiliated: Yes

Abstract

Lumbar disc herniation (LDH) associated with a contralateral neurological deficit is sometimes encountered by surgeons. Compression against the opposite pedicle in case of a large discal herniation and prominent stenotic changes of contralateral side are held responsible for contralateral symptoms and findings. In this study, we report a case of LDH associated with a painless contralateral neurological deficit. Prominent venous engorgement and congestion at the contralateral side of discal herniation were detected during the operation. It's treatment with bipolar coagulation and significant improvement was seen after the operation. © 2013 by Korean Society of Spine Surgery.