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lumbar_disc_herniation

Lumbar disc herniation (LDH)

General information

Key concepts

Radiculopathy: pain and/or subjective sensory changes (numbness, tingling…) in the distribution of a nerve root dermatome, possibly accompanied by weakness and reflex changes of muscles innervated by that nerve root

● typical disc herniationradiculopathy in the nerve exiting at the level below

● massive disc herniations can → cauda equina syndrome (a medical emergency). Typical symptoms: saddle anesthesia, urinary retention, LE weakness.

● most patients do as well with conservative treatment as with surgery, ∴ initial nonsurgical (conservative) treatment should be attempted for the vast majority

● surgery indications: cauda equina syndrome, progressive symptoms or neurologic deficits despite conservative treatment, or severe radicular pain > ≈ 6 weeks

Definition

Lumbar disc herniation definition.

History

Lumbar disc herniation history.

Epidemiology

see Lumbar disc herniation epidemiology.

Classification

see Lumbar Disc Herniation Classification.

Pathophysiology

Lumbar disc herniation pathophysiology

Clinical Features

see Lumbar disc herniation clinical features.

Diagnosis

see Lumbar disc herniation diagnosis.

Treatment

see Lumbar disc herniation treatment.

Complications

Recurrent lumbar disc herniation.

Case series

see Lumbar disc herniation case series.

Case reports

Lumbar disc herniation case reports.

lumbar_disc_herniation.txt · Last modified: 2020/01/25 10:13 by administrador