Abstract:
Lumbar intervertebral disc prolapse has been associated with radiculopathy and the sensory and motor changes that occur as the result of neural compression. The most important motor symptom is foot drop. Occurrence of foot drop in lumber protrusion of intervertebral disc prompts for the surgical treatment of the condition. Here, we report a case of a 32-year-male presented with unilateral foot drop, diagnosed as lumbar protrusion of intervertebral disc and recovered significantly without surgery. The good neurological outcome of the conservative management, in this case, puts the surgeon in a quandary whether to offer surgical management or not. A clinician should always remember this outcome before choosing the management plan for lumbar protrusion of intervertebral disc although rare.
摘要:
腰椎间盘突出与神经根病以及由于神经压迫而发生的感觉和运动变化有关。最重要的运动症状是足下垂。发生足下垂的腰椎间盘突出症提示手术治疗。这里,我们报告一例32岁男性出现单侧足下垂,经诊断为腰椎间盘突出症,未手术即可明显恢复。保守治疗的良好神经系统结果,在这种情况下,是否提供手术治疗使外科医生陷入困境。尽管罕见,但临床医生在选择腰椎间盘突出症的治疗计划之前应始终记住这一结果。