Neglected Cauda Equina Syndrome Due To Prolapsed Lumbar Intervertebral Disc In An Adolescent Patient: A Case Report And Review Of Literature

  • Gawande J Shyam Shah Medical College Rewa
  • Verma P K
  • Mishra S
  • Lakhtakia PK
Keywords: Cauda equine syndrome, Lumbar disc herniation, Laminectomy

Abstract

Lumbar disc herniation is very rare in children and adolescent age group. We report a rare case of two months old neglected case of post traumatic L4-L5 disc herniation causing cauda equina syndrome and bilateral foot drop in a 13-year-old patient. He was treated successfully with emergency L4 laminectomy and L4-L5 discectomy, and he recovered fully without any restricted activity. Cauda equina is a surgical emergency, which should be diagnosed and operated as early as possible for good results, even if the patient presents late.

Downloads

Download data is not yet available.

References

Wahren H. Herniated nucleus pulposus in a child of twelve years. Act Orthop Scand 1945;16:40-2.

DeOrio JK, Bianco AJ Jr. Lumbar disc excision in children and adolescence. J Bone Joint Surg Am 1982;64;991-6.

Kurihara A, Kataoka O. Lumbar disc herniation in children & adolescents – A review of 70 operated cases and their minimum 5 year follow-up studies. Spine 1980;5:443-51.

Durham SR, Sun PP, Sutton LH. Surgically treated lumbar disc disease in the pediatric population: an outcome study. J Neurosurg 2000;92:1-6.

Shillito J Jr. Pediatric lumbar disc surgery: 20 patients under 15 years of age. Surg Neurol 1996;46:14-8.

Papagelopoulus PJ, Shaughnessy WE, Ebersold MJ et al. Long term outcome of lumbar discectomy in children and adolescents sixteen years of age or younger. J Bone Joint Surg Am 1998;80:689-98.

Yang IK, Bahk YW, Choi KH et al. Posterior lumbar apophyseal ring fractures: a report of 20 cases. Neuroradiology 1994;36:453-5.

Parisini P, Di Silvestre M, Greggi T et al. Lumbar disc excision in children and adolescents. Spine 2001;26:1997-2000.

Zamani MH, MacEwen GD. Herniation of lumbar disc in children and adolescents. J Pediatr Orthop 1982;2:528-33.

Lukhele M, Mayet Z, Dube B. Lumbar disc herniation in a 9 year old child: case report and review of literature. SA Orthop J 2011;10:3:93-6.

Borgesen SE, Vang PS. Herniation of the lumbar intervertebral disc in children and adolescents. Acta Orthop Scand 1974;45:540–9.

DeLuca PF, Mason DE, Weiand R, Howard R, Bassett GS. Excision of herniated nucleus pulposus in children and adolescents. J Pediatr Orthop 1994;14:318–22.

Garrido E, Humphreys RP, Hendrick EB, Hoffman HJ. Lumbar disc disease in children. Neurosurgery 1978;2:22–6.

Ishihara H, Matsui H, Hirano N, Tsuji H. Lumbar intervertebral disc herniation in children less than 16 years of age. Long-term follow-up study of surgically managed cases. Spine 1997;22:2044–9.

Russwurm H, Bjerkreim I, Ronglan E. Lumbar intervertebral disc herniation in the young. Acta Orthop Scand 1978;49:158–63.

Dang L, Liu Z A review of current treatment for lumbar disc herniation in children and adolescents. Eur Spine J 2010;19:205–14.

Luukkonen M, Partanen K, Vapalahti M. Lumbar disc herniation’s in children: a long-term clinical and magnetic resonance imaging follow-up study. Br J Neurosurg 1997;11:280–5.

Bayliss MT, Johnstone B, O’Brien JP. Proteoglycan synthesis in the human intervertebral disc. Variation with age, region and pathology. Spine 1988;13:972–81.

Published
2020-12-31
How to Cite
1.
Gawande J, Verma PK, Mishra S, Lakhtakia PK. Neglected Cauda Equina Syndrome Due To Prolapsed Lumbar Intervertebral Disc In An Adolescent Patient: A Case Report And Review Of Literature. ojmpc [Internet]. 2020Dec.31 [cited 2024Dec.22];27(1):46-9. Available from: https://ojmpc.com/index.php/ojmpc/article/view/113
Issue
Vol 27 No 1 (2021): Jan-Jun
Section
Case Report

The entire contents of the Orthopaedic Journal of Madhya Pradesh Chapter are protected under Indian and International copyrights. Orthopaedic Journal of Madhya Pradesh Chapter allow authors to retain the copyrights of their papers without restrictions, Authors grant the publisher the right of exclusive publication. The Journal then grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship. The journal also grants the right to make numbers of printed copies for their personal non-commercial use under Creative Commons Attribution-Non-commercial share alike 4.0 International Public License.