Thoracic Disc Herniation with Concomitant Lumbar Spinal Stenosis Resulting in Epidural Compression Syndrome in a Renal Transplant Patient

The authors report the case of a 64-year-old female renal transplant patient who presented with acute onset of right lower extremity weakness and urinary retention. Her imaging studies confirmed a T11-12 paracentral disc herniation with spinal cord deformation and myelomalacia with concomitant degenerative spondylolisthesis at L4-5 resulting in epidural compression syndrome. Following appropriate surgical intervention, she regained the ability urinate at 4 months following surgery, independent ambulation at 6 months, and return to pre-injury activities one year following surgery.