Journal of Spine & NeurosurgeryISSN: 2325-9701

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Case Report, J Spine Neurosurg Vol: 5 Issue: 5

Far Lateral Disc Herniation Imitating Nerve Sheath Tumor: Case Report

Bruder M*, Theuss S, Seifert V and Marquardt G
Department of Neurosurgery, Goethe-University Frankfurt, Germany
Corresponding author : Dr. med. Markus Bruder
Department of Neurosurgery, Hospital of the Goethe-University, Schleusenweg 2-16, 60528 Frankfurt, Germany
Tel: 0049-(0)69 6301 5939
Fax: 0049-(0)69 6301 6322
Received: March 09, 2016 Accepted: May 19, 2016 Published: May 26, 2016
Citation: Bruder M, Theuss S, Seifert V, Marquardt G (2016) Far Lateral Disc Herniation Imitating Nerve Sheath Tumor: Case Report. J Spine Neurosurg 5:5. doi: 10.4172/2325-9701.1000231


We present the case of a 57-year-old female with sciatica, paresis and paresthesia of the left leg. MRI obviously revealed an enlarged L3 nerve root with circumjacent gadolinium enhancement. Due to these findings a schwannoma was suspected. Operation was performed using a lateral approach. However, no nerve sheath tumor was encountered intraoperatively but a far lateral disc herniation exerting considerable pressure on the nerve root. Histopathological examination confirmed this diagnosis, and surgical resection resulted in complete relief. According to these findings, far lateral disc herniation should be considered as a differential diagnosis in case of an enlarged nerve root with marginal gadolinium enhancement.

Keywords: Lateral disc herniation; Nerve sheath tumor; Schwannoma; Gadolinium enhancement; Lateral approach; Sciatica

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