Unilateral surgical approach for lumbar disc herniation with contralateral symptoms: Two case reports

Zahir Kızılay; Arsal Acarbaş; Ayşe Merve Dumlu

doi:10.28982/josam.531555

Authors

Zahir Kızılay https://orcid.org/0000-0002-2021-0406
Arsal Acarbaş https://orcid.org/0000-0002-8189-4071
Ayşe Merve Dumlu https://orcid.org/0000-0002-6186-1512

DOI:

https://doi.org/10.28982/josam.531555

Keywords:

Lumbar disc herniation, Contralateral symptoms, Unilateral surgical approach

Abstract

Lumbar disc herniation is the most common cause of the lumbar radicular pain and it is usually encountered on the same side with its symptoms. However, lumbar disc herniation with contralateral symptoms is sometimes observed too. This situation may cause a dilemma for spine surgeons. There are no consensus about cause of the pathophysiology of contralateral radiculopathy, and which surgical approach may suitable for these patients. In here, we present two case reports lumbar disc herniation with contralateral symptoms and discuss this phenomenon in the light of the literature.

Downloads

Download data is not yet available.

References

Akdeniz T, Kaner T, Tutkan I,Ozer AF. Unilateral surgical approach for lumbar disc herniation with contraletaral symptoms. J Neurosurg Spine. 2012;17:124-7.

Kalemci O, Kizmazoglu C, Ozer E, Arda MN. Lumbar disc herniation associated with contralateral neurological deficits: can venous congestion be the cause? Asian Spine J. 2013;1:60-2.

Choudhury AR, Taylor JC, Worthington BS, Whitaker R. Lumbar radiculopathy contralateral to upper lumbar disc herniation: report of 3 cases. Br J Surg. 1978;65:842-4.

Kornberg M. Sciatica contralateral to lumbar disc herniation. Ortopedics. 1994;17(4):362-4.

Mirovsky Y, Halperin N. Eccentric compression of the spinal canal causing dominantly contralateral-side symptoms. J Spinal Disord. 2000;13(2):174-7.

Lee DY, Lee SH. Recurrent lumbar disc herniation with contraletaral symptoms treated by percutaneous endoscopic discectomy. Kor J Spine. 2007;4(1):41-3.

Sucu HK, Gelal F. Lumbar disc herniation with contralateral symptoms. Eur Spine J. 2006;15:570-4.

Hasegawa T, Imai Y, Katsuno R, Ohnaru K, Saeki T, Mikawa Y. Lumbar radiculopathy contralateral to side of lumbar disc herniation. Kawasaki Med J. 2005;31(3.4):47-54.

Karabekir HS, Yıldızhan A, Atar EK, Yatcioglu S, Gocmen-Mas N, Yazici C. Effect of the ligamenta flava hyperthrophy on lumbar disc herniation with contralateral symptoms and signs: a clinical and morphometric study. Arch Med Sci. 2010;6(4):617-22.

Yang JS, Zhang DJ, Hao DJ. Lumbar disc herniation with contralateral radiculopathy: do we neglect the epidural fat? Pain Physician. 2015;18(2):E253-56.

Kim P, Ju CI, Kim HS, Kim SW. Lumbar disc herniationpresented with contralateral symptoms. J Korean Neurosurg Soc. 2017;60(2):220-4.