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Case report
peer-reviewed

Atypical Presentation of a Sequestered Posterolateral Disc Fragment



Abstract

Sequestered disc fragments typically occur ventrally but can also migrate dorsally or intradurally. At times, atypical disc herniations can be misinterpreted on imaging as other lesions, such as neoplasms, hematomas, or abscesses. We present an uncommon case of a patient presenting with cauda equina syndrome secondary to an enhancing sequestered disc fragment mimicking a tumor.



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Case report
peer-reviewed

Atypical Presentation of a Sequestered Posterolateral Disc Fragment


Author Information

Olaide Ajayi Corresponding Author

Department of Neurosurgery, Loma Linda University Medical Center

Alireza Shoakazemi

Neurosurgery, NHS UK

R. Shane Tubbs

Neurosurgery, Seattle Science Foundation

Marc Moisi

Neurosurgery, Seattle Science Foundation

Neurosurgery, Wayne State University School of Medicine

Steven Rostad

Cellnetix Pathology, CellNetix

David W. Newell

Neurosurgery, Seattle Neurosciences Institute


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Atypical Presentation of a Sequestered Posterolateral Disc Fragment


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Case report
peer-reviewed

Atypical Presentation of a Sequestered Posterolateral Disc Fragment

Olaide Ajayi">Olaide Ajayi , Alireza Shoakazemi">Alireza Shoakazemi, R. Shane Tubbs">R. Shane Tubbs, Marc Moisi">Marc Moisi, Steven Rostad">Steven Rostad, David W. Newell">David W. Newell

  • Author Information
    Olaide Ajayi Corresponding Author

    Department of Neurosurgery, Loma Linda University Medical Center

    Alireza Shoakazemi

    Neurosurgery, NHS UK

    R. Shane Tubbs

    Neurosurgery, Seattle Science Foundation

    Marc Moisi

    Neurosurgery, Seattle Science Foundation

    Neurosurgery, Wayne State University School of Medicine

    Steven Rostad

    Cellnetix Pathology, CellNetix

    David W. Newell

    Neurosurgery, Seattle Neurosciences Institute


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: February 20, 2016

    DOI

    10.7759/cureus.502

    Cite this article as:

    Ajayi O, Shoakazemi A, Tubbs R, et al. (February 20, 2016) Atypical Presentation of a Sequestered Posterolateral Disc Fragment. Cureus 8(2): e502. doi:10.7759/cureus.502

    Publication history

    Received by Cureus: January 09, 2016
    Peer review began: January 25, 2016
    Peer review concluded: February 10, 2016
    Published: February 20, 2016

    Copyright

    © Copyright 2016
    Ajayi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Categories

    Keywords

    lumbar disc, spine tumor

Abstract

Sequestered disc fragments typically occur ventrally but can also migrate dorsally or intradurally. At times, atypical disc herniations can be misinterpreted on imaging as other lesions, such as neoplasms, hematomas, or abscesses. We present an uncommon case of a patient presenting with cauda equina syndrome secondary to an enhancing sequestered disc fragment mimicking a tumor.



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Create a free account to continue reading this article.

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Olaide Ajayi

Department of Neurosurgery, Loma Linda University Medical Center

For correspondence:
ooajayi1@yahoo.com

Alireza Shoakazemi, M.D.

Neurosurgery, NHS UK

R. Shane Tubbs, Ph.D., Professor

Neurosurgery, Seattle Science Foundation

Marc Moisi, M.D.

Neurosurgery, Seattle Science Foundation

Steven Rostad

Cellnetix Pathology, CellNetix

David W. Newell, M.D.

Neurosurgery, Seattle Neurosciences Institute

Olaide Ajayi

Department of Neurosurgery, Loma Linda University Medical Center

For correspondence:
ooajayi1@yahoo.com

Alireza Shoakazemi, M.D.

Neurosurgery, NHS UK

R. Shane Tubbs, Ph.D., Professor

Neurosurgery, Seattle Science Foundation

Marc Moisi, M.D.

Neurosurgery, Seattle Science Foundation

Steven Rostad

Cellnetix Pathology, CellNetix

David W. Newell, M.D.

Neurosurgery, Seattle Neurosciences Institute