Unilateral surgical approach for lumbar disc herniation with contralateral symptoms: Two case reports

Öz

Lumbar disc herniation is the most common cause of the lumbar radicular pain and it is usually encountered on the same side with its symptoms. However, lumbar disc herniation with contralateral symptoms is sometimes observed too. This situation may cause a dilemma for spine surgeons. There are no consensus about cause of the pathophysiology of contralateral radiculopathy, and which surgical approach may suitable for these patients. In here, we present two case reports lumbar disc herniation with contralateral symptoms and discuss this phenomenon in the light of the literature.

Anahtar Kelimeler

• Lumbar disc herniation,Contralateral symptoms,Unilateral surgical approach

Karşı taraf semptomları olan lomber disk hernileri için tek taraflı yaklaşım: İki olgu sunumu

Öz

Lomber disk hernileri, lomber radiküler ağrının en yaygın nedenlerindendir ve sıklıkla lomber disk hernisi ile semptomları aynı tarafta karşılaşılır. Fakat bazen lomber disk hernisi karşı taraf semptomları ile de gözlemlenebilir. Bu durum, omurga cerrahları için bir ikileme neden olabilir. Çünkü, karşı taraf radikülopatinin patofizyolojisinin nedenleri ve hangi cerrahi yaklaşımın bu hastalar için uygun olduğu ile ilgili bir konsensus yoktur. Burada karşı taraf semptomu olan 2 lomber disk olgusu sunulacak ve bu fenomen literatür eşliğinde tartışılacaktır.

Anahtar Kelimeler

• Lomber disk hernisi,Karşı taraf semptom,Tek taraflı yaklaşım

Kaynakça

1. 1. Akdeniz T, Kaner T, Tutkan I,Ozer AF. Unilateral surgical approach for lumbar disc herniation with contraletaral symptoms. J Neurosurg Spine. 2012;17:124-7.
2. 2. Kalemci O, Kizmazoglu C, Ozer E, Arda MN. Lumbar disc herniation associated with contralateral neurological deficits: can venous congestion be the cause? Asian Spine J. 2013;1:60-2.
3. 3. Choudhury AR, Taylor JC, Worthington BS, Whitaker R. Lumbar radiculopathy contralateral to upper lumbar disc herniation: report of 3 cases. Br J Surg. 1978;65:842-4.
4. 4. Kornberg M. Sciatica contralateral to lumbar disc herniation. Ortopedics. 1994;17(4):362-4.
5. 5. Mirovsky Y, Halperin N. Eccentric compression of the spinal canal causing dominantly contralateral-side symptoms. J Spinal Disord. 2000;13(2):174-7.
6. 6. Lee DY, Lee SH. Recurrent lumbar disc herniation with contraletaral symptoms treated by percutaneous endoscopic discectomy. Kor J Spine. 2007;4(1):41-3.
7. 7. Sucu HK, Gelal F. Lumbar disc herniation with contralateral symptoms. Eur Spine J. 2006;15:570-4.
8. 8. Hasegawa T, Imai Y, Katsuno R, Ohnaru K, Saeki T, Mikawa Y. Lumbar radiculopathy contralateral to side of lumbar disc herniation. Kawasaki Med J. 2005;31(3.4):47-54.

9. 9. Karabekir HS, Yıldızhan A, Atar EK, Yatcioglu S, Gocmen-Mas N, Yazici C. Effect of the ligamenta flava hyperthrophy on lumbar disc herniation with contralateral symptoms and signs: a clinical and morphometric study. Arch Med Sci. 2010;6(4):617-22.
10. 10. Yang JS, Zhang DJ, Hao DJ. Lumbar disc herniation with contralateral radiculopathy: do we neglect the epidural fat? Pain Physician. 2015;18(2):E253-56.
11. 11. Kim P, Ju CI, Kim HS, Kim SW. Lumbar disc herniationpresented with contralateral symptoms. J Korean Neurosurg Soc. 2017;60(2):220-4.