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Year : 2005  |  Volume : 15  |  Issue : 4  |  Page : 489-491
Role of contrast enhanced MR in diagnosis of a sequestered disc : A case report and review of literature

Department of Radiodiagnosis and Surgery, Pad. Dr. D. Y. Patil, Medical College & Hospital, Pimpri, Pune - 18., India

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-3026.28781

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A 38 years old female presented with complaints of radiating pain on lateral aspect of left thigh and leg. Clinical examination revealed signs of L 4 and L5 radiculopathy. Contrast enhanced MRI of the lumbosacral spine revealed degenerative disc disease with a contrast enhancing lesion with a non enhancing center on the left posterolateral portion of the L4 vertebral body. Differentials considered were a solitary epidural abscess, neurofibroma and a sequestered disc. Post operatively lesion was confirmed to be a sequestered disc material, which had migrated caudally from L2-L3 intervertebral disc space anterolateral to the thecal sac. Contrast enhancement was a feature secondary to associated epidural inflammation -a sign typically associated with a long standing sequestered disc.

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