Shrish Nalin1*, Kanika Gupta2, Amit joshi3, Mukesh kumar4
Back pain is one of the most common complaints of patients presenting in the Neurosurgery Department. Most of the back pains are improved by back exercises, analgesics and requires no specific investigation. But sometimes patients present with severe signs and symptoms of back pain with cauda equina syndrome for which immediate diagnosis and management is required. In back pain with cauda equina syndrome to diagnose the cause, investigation of choice following clinical examination is a MRI lumbosacral spine. In Neurosurgery herniated lumbar disc is one of the most common cause of low back pain with CES and easily diagnosed over MRI lumbosacral spine. But sometimes imaging increases the confusion regarding diagnosis. We hereby report a patient with severe LBP (low back pain)with bilateral lower limbs radiculopathy who presented with a lumber epidural mass which later turn out to be a posterior epidural migrated lumber disc fragment (PDF).Back pain is one of the most common complaints of patients presenting in the Neurosurgery Department. Most of the back pains are improved by back exercises, analgesics and requires no specific investigation. But sometimes patients present with severe signs and symptoms of back pain with cauda equina syndrome for which immediate diagnosis and management is required. In back pain with cauda equina syndrome to diagnose the cause, investigation of choice following clinical examination is a MRI lumbosacral spine. In Neurosurgery herniated lumbar disc is one of the most common cause of low back pain with CES and easily diagnosed over MRI lumbosacral spine. But sometimes imaging increases the confusion regarding diagnosis. We hereby report a patient with severe LBP (low back pain)with bilateral lower limbs radiculopathy who presented with a lumber epidural mass which later turn out to be a posterior epidural migrated lumber disc fragment (PDF).