Asian Spine Journal  2013;7(1):60-62

doi:10.4184/asj.2013.7.1.60

Lumbar Disc Herniation Associated with Contralateral Neurological Deficit: Can Venous Congestion Be the Cause?.

Orhan KALEMCI 1 ; Ceren KIZMAZOGLU ; Ercan OZER ; Mehmet Nuri ARDA

Affiliations

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Keywords

Deficit; Neurologic; Venous congestion

Country

Republic of Korea

Language

English

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.