scholarly journals Spontaneous Recovery in Complete Foot Drop in a Case of Lumbar Disc Herniation: A Neurological Surprise

Cureus ◽  
2022 ◽  
Author(s):  
Abhijit Ravindra Chandankhede ◽  
Dhruv Talwar ◽  
Sourya Acharya ◽  
Sunil Kumar
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Recovery ◽  
Lumbar Disc ◽  
Foot Drop

scholarly journals Spontaneous and rapid resolution of a massive lumbar disc herniation

2021 ◽  
Vol 12 ◽  
pp. 352
Author(s):  
Dinesh Naidoo
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spontaneous Recovery ◽  
Surgical Intervention ◽  
Nonoperative Management ◽  
Lumbar Disc ◽  
Cauda Equina ◽  
Neurological Deficits ◽  
Lumbar Surgery ◽  
Disc Herniations

Background: Most lumbar disc herniations can be successfully treated conservatively. However, massive lumbar disc herniations are often treated surgically to avoid permanent cauda equina syndromes/neurological deficits and potential litigation. Nevertheless, here, we present a 51-year-old female who refused lumbar surgery due to coronavirus disease 2019 (COVID-19) and sustained a full spontaneous recovery without surgical intervention. Case Description: A 51-year-old female presented with a massive lumbar disc herniation at the L5S1 level. Despite refusing surgery for fear of getting COVID-19, she spontaneously neurologically improved without any residual neurological or radiographic sequelae. Conclusion: Although the vast majority of patients with massive lumbar disc herniations are managed surgically, there are rare instances in which nonoperative management may be successful.

scholarly journals Combination of MSAT and Korean Medicine for Managing Foot Drop Due to Lumbar Disc Herniation: Case Report

2021 ◽  
Vol 38 (3) ◽  
pp. 189-195
Author(s):  
Ji-won Park ◽  
Wu-Jin Jeong ◽  
Hyo-Seung Huh ◽  
Hae-Won Hong ◽  
Ji-eun Koo
Keyword(s):  
Case Report ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Foot Drop ◽  
Korean Medicine

Risk Factors Analysis for Foot Drop Associated with Lumbar Disc Herniation: An Analysis of 236 Patients

2018 ◽  
Vol 110 ◽  
pp. e1017-e1024 ◽  
Author(s):  
Jun Ma ◽  
Yunfei He ◽  
An Wang ◽  
Weiheng Wang ◽  
Yanhai Xi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Foot Drop ◽  
Factors Analysis

scholarly journals Operative Results of Lumbar Disc Herniation and Lumbar Canal Stenosis with Foot Drop.

1993 ◽  
Vol 42 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Yuji Terai ◽  
Takeshi Imai ◽  
Youhei Koshimune ◽  
Yoshifumi Sunami
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Foot Drop ◽  
Operative Results ◽  
Lumbar Canal Stenosis ◽  
Canal Stenosis

scholarly journals Limited Discectomy for single level lumbar disc herniation: a retrospective study in a tertiary level hospital

2022 ◽  
Vol 21 (1) ◽  
pp. 37-44
Author(s):  
Md Kamrul Ahsan ◽  
Shahidul Islam Khan ◽  
Sachindra Raj Joshi ◽  
Md Zahidul Haq Khan ◽  
Md Hamidul Haque ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Medical Science ◽  
Operating Time ◽  
Foot Drop ◽  
Long Term Outcome ◽  
Single Level ◽  
Vas Score

Objective: To perform retrospective analysis of 1000 patients who underwent open limited discectomy (OLD) for single level lumbar disc herniation (LDH) and to assess the long- term clinical outcomes. Methods: 745 men and 255 women, with mean age of 38.03 ± 9.14 years (range 19- 55 years) who had primary LDH at L4-5 (n=640), L5-S1 (n=352), and L3-4 (n=8); underwent OLD were reviewed. Records were obtained regarding their demographic data, the side and level of disc herniation, operating time period, intraoperative blood loss, hospital stay, and perioperative complications. VAS score was measured before and after operation, for the assessment of low back pain (LBP) and radicular pain. Comprehensive outcome outcomes were measured postoperatively with the modified Macnab criteria and the Oswestry Disability Index (ODI) score. Results: The mean follows up was 24.5 (range 24-70) months. Significant improvement of mean VAS score for back and leg pain was achieved. At the two years follow-up, results were excellent in 525 (52.50%), good in 325 (32.50%), fair in 140 (14.00%) and poor in 10 (1.00%). Complications found were reherniation (n=52), discitis (n=19), superficial wound infection (n=7), dural tear (n=7) and foot drop (n=2). Conclusion: Open limited discectomy following fenestration or laminotomy is a safe and effective procedure and achieved favorable long-term outcome (e.g., low rate of recurrent LBP) and excellent patients’ satisfaction. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 37-44

scholarly journals A rare case of L5-S1 right severe foraminal stenosis and paramedian disc herniation result in foot drop of right lower extremity: A case report

2021 ◽  
Vol 8 (10) ◽  
pp. 623-627
Author(s):  
Ngoc Quyen Nguyen ◽  
Trong Hau Phan
Keyword(s):  
Lower Extremity ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Rare Case ◽  
Lumbar Disc ◽  
Clinical Manifestations ◽  
Foot Drop ◽  
Foraminal Stenosis ◽  
Mri Findings ◽  
The Right

Objective: the authors presented a extremely rare case of severe foraminal stenosis combined with huge lateral lumbar disc herniation  Case presentation: The authors presented a 74 – year old, male with type II chronic diabetes, had severe pain of the dermatomal distribution of L5, S1 nerve roots, and foot-drop of the right lower limb. When we evaluated the patient’s MRI, the huge paramedian disc herniation of the right L5-S1 level was seen and the right L5-S1 laminotomy and discetomy were planned for the treatment of the patient. However, the clinical symptoms were not completely correlated with that MRI findings so that, we re-checked the MRI, particularly at the lumbosacral region, and the right severe foraminal stenosis of L5-S1 level was found. The patient underwent surgery with facetectomy, transforaminal interbody fusion, and pedicle screw fixation. After the operation, the patient has quickly reduced radiating pain of the right lower extremity, although the foot-drop was not improved. Because of the huge lateral lumbar disc herniation impression, that could affect the assessing the patient’s injury correctly, leaded consequences of a missing diagnosis of foraminal stenosis and inadequate surgery method. Conclusion: It is essential to detail examination of the clinical manifestations and thorough assessment of MRI for evaluation of the correlation between the physical examination and MRI findings before making the decision of surgical method.

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