Radiology Case Reports (Feb 2020)

Ventrolateral disc herniation causes psoas muscle compression: A case report

  • Tomislav Pavlović, MD,
  • Krunoslav Štefančić,
  • Marjan Rožanković, MD,PhD,
  • Luka Boban, MD,
  • Igor Borić, MD,PhD,
  • Vilim Molnar, MD,
  • Paulo Zekan, MD,
  • Dragan Primorac, MD,PhD

Journal volume & issue
Vol. 15, no. 2
pp. 136 – 140

Abstract

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We report a case of a 39-year old male patient who presented to us with several months of lower back pain. Following clinical assessment, the patient underwent a magnetic resonance imaging exam, which after using advanced imaging protocols showed a ventrolateral disc hernation toward the psoas muscle. Based upon the findings in the magnetic resonance and the electromyoneurographic examination, the decision was made to treat the patient conservatively. Coronal planes are useful for discerning changes of various origins not usually seen on the sagital and axial planes. If needed, additional advanced protocol is available for increased specificity and diagnostic accuracy. Keywords: Magnetic resonance imaging (MRI), Lateral disc herniation, Psoas myoedema, Spine