Lumbar disk herniation combined with epidural hematoma. A case report.

PURPOSE

Presentation of a case of simultaneous lumbar disk herniation and epidural hematoma.

MATERIAL AND METHODS

An 85-year old patient with symptoms of compression of one or more nerve roots was examined with CT of the 3 lower lumbar intervertebral spaces.

RESULTS

CT showed a high-density mass in the left side of the spinal canal, lying on the flaval ligament and extending laterally under the left pedicle of the 3rd lumbar vertebra. The correct diagnosis was not established before surgery. At surgery, a lumbar disk herniation and an epidural hematoma, located in the 3rd lumbar intervertebral space, were found.

CONCLUSION

Retrospectively, the CT appearance was well in accordance with the findings at operation, but further examination, preferably MR imaging, is suggested in cases of atypical masses in the spinal canal.