FAILED BACK SURGERY SYNDROME
Our patient is a post operative status for lumbar disc disease and has pain in the left leg. Plain study was done and revealed likely L4/5 disc protrusion and L5/S1 central/right paracentral bulge, which could not explain the left sided persistent pain. Post gadolinium study was advised by our radiologists. On post gadolinium scans in addition to the residual/recurrent disc pathology, focal enhancing soft tissue was noted in the left lateral recess at L5/S1 level with impingement of the left sided traversing root (S1) and exiting nerve root (L5) at this level. This likely suggests scar tissue. As residual disc doesn’t enhance and epidural scar tissue enhances. Although, recurrent disc prolapse and epidural scar are not mutually exclusive diagnosis, they may be seen together as in our case but they need to be identified independently as the former may improve after re-exploration.
Reported by-Teleradiology Providers
FAILED BACK SURGERY SYNDROME
Reviewed by Sumer Sethi
on
Saturday, November 14, 2009
Rating:
Reviewed by Sumer Sethi
on
Saturday, November 14, 2009
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
1 comment:
Is there anything you can do about scar tissue after back surgery?
Post a Comment