Lumbar Disk Herniation Combined with Epidural Hematoma

Abstract

Purpose:

Presentation of a case of simultaneous lumbar disk herniation and epidural hematoma.

Material and Methods:

An 85-year-old patient with symptoms of compression of one or more nerve roots was examined with CT of the 3 lower lumbar intervertebral spaces.

Results:

CT showed a high-density mass in the left side of the spinal canal, lying on the flaval ligament and extending laterally under the left pedicle of the 3rd lumbar vertebra. The correct diagnosis was not established before surgery. At surgery, a lumbar disk herniation and an epidural hematoma, located in the 3rd lumbar intervertebral space, were found.

Conclusion:

Retrospectively, the CT appearance was well in accordance with the findings at operation, but further examination, preferably MR imaging, is suggested in cases of atypical masses in the spinal canal.