Case Report on Unusual Presentation of Herniated Intervertebral Disk
Jeshnu P Tople, Gautam Das, Subhasree P Das, Deepak KP Garg, Wiquar Ahmed
Keywords :
Disk herniation, Lumbosacral radiculopathy, Radiculopathy in elderly
Citation Information :
Tople JP, Das G, Das SP, Garg DK, Ahmed W. Case Report on Unusual Presentation of Herniated Intervertebral Disk. J Recent Adv Pain 2019; 5 (2):57-59.
Lumbar disk herniation with radiculitis is commonly presented as low back pain radiating down the lower extremity unilaterally along the affected dermatome. There can be various presentations of lumbar radiculopathy such as nondermatomal distribution of pain, patchy distribution of pain, and mismatch between clinical presentation and image findings. Symptoms of lumbar radiculopathy or radiculitis typically aggravate on walking and have partial relief on rest and forward bending. We got an atypical case of herniated lumbar disk where the patient presented with absence of low back pain, absence of pain along the thigh, older age, and pain aggravating on sitting. It emphasizes that one should not exclude any clinical diagnoses unless proved.
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