Case Report: A case report highlighting bilateral EDB wasting as a clinical marker for lumbar canal stenosis

Bijoy Mohan Kumar, Sunil Munakomi
2015 F1000Research  
Discuss this article (0) Comments 3 2 1 CASE REPORT Abstract Herein we discuss a case of a 55 year old male presenting with history suggestive of sciatica on the left leg. Straight leg raising (SLR) test was positive at 45 degrees on the left side. His ankle reflex was absent and the power of extensor hallusus longus (EHL) was 4/5 on the same side. MRI lumbosacral spine revealed left paramedian disc prolapsed on L4/L5 level with spinal canal diameter of 9mm.However since his bilateral extensor
more » ... igitorm brevis (EDB) were wasted, we suspected associated lumbar canal stenosis and thereby opted for laminectomy and discectomy in this case. Intraoperatively dural wasting, hypertrophied facets and narrow canal were confirmed. Laminectomy, medial facectectomy and discectomy were carried out. The patient recovered uneventfully with resolution of his sciatica-like pain. Bilateral EDB wasting thereby provides a clinical clue to the underlying lumbar canal stenosis and can help in making correct therapeutic decisions. Sunil Munakomi ( ) Corresponding author: sunilmunakomi@gmail.com Kumar BM and Munakomi S. How to cite this article: Case Report: A case report highlighting bilateral EDB wasting as a clinical marker 2015, :467 (doi: for lumbar canal stenosis [version 1; referees: 2 approved, 1 approved with reservations] F1000Research 4 ) PubMed Abstract | Publisher Full Text 6. Jacobs WC, van Tulder M, Arts M, et al.: Surgery versus conservative management of sciatica due to a lumbar herniated disc: a systematic review. Eur Spine J. 2011; 20(4): 513-522. PubMed Abstract | Publisher Full Text | Free Full Text 7. Mobaleghi J, Allahdini F, Nasseri K, et al.: Comparing the effects of epidural methylprednisolone acetate injected in patients with pain due to lumbar spinal stenosis or herniated disks: a prospective study. Int J Gen Med. 2011; 4: 875-878. PubMed Abstract | Publisher Full Text | Free Full Text 8. Manchikanti L, Benyamin RM, Falco FJ, et al.: Do Epidural Injections Provide Short-and Long-term Relief for Lumbar Disc Herniation? A Systematic Review. Clin Orthop Relat Res. 2015; 473(6): 1940-56. PubMed Abstract | Publisher Full Text | Free Full Text 9. Sedighi M, Haghnegahdar A: Lumbar disk herniation surgery: outcome and predictors. Global Spine J. 2014; 4(4): 233-244. PubMed Abstract | Publisher Full Text | Free Full Text 10. Long DM: Failed back surgery syndrome. Neurosurg Clin N Am. 1991; 2(4): 899-919. PubMed Abstract
doi:10.12688/f1000research.6865.1 pmid:26535113 pmcid:PMC4608354 fatcat:efvedpmypnhvlk3rrsiqgix7uq