{"title":"Bilateral Foot Drop Without Cauda Equinae Syndrome Due To L4-L5 Disc Prolapse: A Case Report","authors":"R. Ramnaryan, C. Palinikumar","doi":"10.5580/384","DOIUrl":null,"url":null,"abstract":"Aims: Lumbar disc prolapse in elderly patients at L4-L5 level presenting as bilateral foot drop without other features of cauda equine syndrome has been rarely reported. Methods: This is a report of an elderly lady with presenting with sudden backache and radiating pain to both legs with bilateral foot drop. There was no urinary or bowel involvement. Clinical examination showed a bilateral L5 radiculopathy with normal perianal sensation. Investigations excluded other causes of bilateral foot drop. MRI revealed a L4 L5 central disc prolapse causing severe canal stenosis at that level. Results: Patient underwent L4 L5 laminectomy and discectomy. At follow up a month later her bilateral foot drop had improved to normal and she was independent. Conclusion: This case highlights the fact that though very rare, L4 -L5 disc prolapse can manifest with bilateral foot drop and surgery can produce a good result.","PeriodicalId":326784,"journal":{"name":"The Internet Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2007-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Internet Journal of Neurosurgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5580/384","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
Abstract
Aims: Lumbar disc prolapse in elderly patients at L4-L5 level presenting as bilateral foot drop without other features of cauda equine syndrome has been rarely reported. Methods: This is a report of an elderly lady with presenting with sudden backache and radiating pain to both legs with bilateral foot drop. There was no urinary or bowel involvement. Clinical examination showed a bilateral L5 radiculopathy with normal perianal sensation. Investigations excluded other causes of bilateral foot drop. MRI revealed a L4 L5 central disc prolapse causing severe canal stenosis at that level. Results: Patient underwent L4 L5 laminectomy and discectomy. At follow up a month later her bilateral foot drop had improved to normal and she was independent. Conclusion: This case highlights the fact that though very rare, L4 -L5 disc prolapse can manifest with bilateral foot drop and surgery can produce a good result.