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Case 1 History
Presented by: Dr. Chris Ekong, Neurosurgeon, Regina
Age: 30 Sex: Male
History:
June 2000: Symptomatic Right L5S1 Disc protrusion.
MRIs
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MRI of L/5 spine (T1 images) showing L5S1 disc protrusion. |
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| MRI of L/5 spine (T2 images) showing L5S1 disc protrusion. | ||
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| MRI of L/5 spine (T1 images) showing right L5S1 disc protrusion. | ||
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| MRI of L/5 spine (T2images) showing right L5S1 disc protrusion. | ||
July 2000: Right L5S1 Discordectomy. Good results.
July 2001: Recurrent back pain and right leg pain. Very severe. On large doses of morphine.
MRIs
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| Post op MRI of L/5 Spine T1 | ||
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| Post op MRI of L/5 Spine T2 | ||
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| Post op MRI of L/5 Spine T1 with contrast | ||
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| Post op MRI of L/5 SpineT2 | ||
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| Post op MRI of L/5 Spine T1 with contrast | ||
Question:
1. Why does epidural fibrosis cause symptoms in some patients but not in others?
2. How should we treat him?
