Pitting Oedema in a Patient with Lumbar Disc Herniation Case report of an unusual association
Journal Title: Sultan Qaboos University Medical Journal - Year 2017, Vol 17, Issue 4
Abstract
Oedema refers to the excessive accumulation of fluid within intercellular tissues as a result of disequilibrium between the capillary hydrostatic and oncotic pressure gradients. Lumbar disc herniation (LDH) commonly causes lower back pain and radicular leg pain. We report a 57-year-old female who presented to the neurosurgery clinic of the Bam University of Medical Sciences, Bam, Iran, in 2015 with pain and pitting oedema in the bilateral lower extremities. Magnetic resonance imaging confrmed a diagnosis of LDH of the L3–L4 and L4–L5 vertebrae. Te patient subsequently underwent a bilateral laminotomy and foraminotomy of the involved vertebrae to relieve her pain. Following the surgery, there was a complete resolution of the LDH-related symptoms as well as the oedema. Although LDH has never before been associated with oedema, it may nevertheless cause lower limb oedema in exceptional and rare cases, as highlighted in this patient.
Authors and Affiliations
Homa Sadeghian| Neurovascular Research Laboratory, Massachusetts General Hospital, Boston, Massachusetts, USA, Rouzbeh Motiei-Langroudi| Division of Neurosurgery, Department of Surgery, Pastor Hospital, Bam University of Medical Sciences, Bam, Iran, Neurosurgical Service, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Keywords
Related Articles
- EP ID EP14826
- DOI 10.18295/squmj.2017.17.04.015
- Views 380
- Downloads 15
Focal Scalp Hair Heterochromia in an Infant
Hair heterochromia involves the presence of two different non-artifcially induced colours of hair in the same individual which can be due to either iron defciency anaemia, genetic mutations or mosaicism. We report a s...
Is a Team-based Learning Approach to Anatomy Teaching Superior to Didactic Lecturing?
Objectives: Team-based learning (TBL) is used in the medical feld to implement interactive learning in small groups. Te learning of anatomy and its subsequent application requires the students to recall a great deal of...
Workplace Violence Against Nurses in Psychiatric Hospital Settings: Perspectives from Saudi Arabia
Objectives: Workplace violence (WPV) has become a world-wide concern. This study aimed to measure the prevalence of WPV among nurses working in psychiatric hospitals in Saudi Arabia. Methods: This cross-sectional study w...
Lipids-Risk Categories in Omani Type 2 Diabetics Impact of the National Cholesterol Educational Program
Objective: To evaluate the impact of the National Cholesterol Educational Program Adult Treatment Panel III (ATP III) and the Framingham Offspring Study on Omani diabetic subjects. Methods: 22 subjects with type 2 di...
Cost Comparison between Laparoscopic and Open Appendectomies in Children
Objectives: Laparoscopic appendectomy (LA) for children has become very popular and is routinely performed in most health care centres around the world. Te cost of surgical procedures is always a concern for patients a...