Far Lateral Lumbar Disc Herniation in the Emergency Department

Abstract

Musculoskeletal disorders are a common reason for emergency department admissions. In addition to providing pain control to these patients, it is crucial to differentiate between musculoskeletal, spinal cord, abdominal, and retroperitoneal diseases. A 37-year-old female with multiple sclerosis complained of pain extending from the left groin and leg to the left knee. The patient had severe non-traumatic pain, posture and gait disturbances. In addition, paresthesia in the left thigh of the lower extremity, difficulty in flexion, and the reverse laseque test were positive. On magnetic resonance imaging, a far lateral lumbar disc herniation was found at the L3-L4 vertebral level. Twelve days after being hospitalized to the neurosurgery clinic, the patient was discharged. A patient who presented to the emergency department with multiple sclerosis and distal lateral lumbar disc herniation was evaluated in light of the relevant literature.