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Multidisciplinary approach to L3/L4 lumbar disc prolapse masquerading as focal limb myositis-a radiological challenge.
Saini, Ramandeep Hurry, Daniel Singh, Rasvin Dapaah, Andrew Sharma, Chetna Calthorpe, D Jain, Virendra Kothari, Ravi
Saini, Ramandeep
Hurry, Daniel
Singh, Rasvin
Dapaah, Andrew
Sharma, Chetna
Calthorpe, D
Jain, Virendra
Kothari, Ravi
Abstract
Prolapsed intervertebral discs are commonly associated with back ache and sciatica. Management is often conservative with analgesia and physiotherapy. Nerve root injections and discectomy procedures are used where conservative measures fail. Majority of patients present with symptoms of pain and motor weakness; however, a few can present as focal myositis of lower limb muscles in the distribution of radiculopathy. MRI scans of limbs are rarely done in these cases but if done can confound the radiologist. Our case report emphasize the importance of multidisciplinary approach for a L3 nerve radiculopathy with confounding clinical presentation of focal lower limb myositis of unknown etiology.
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Citation
BJR Case Rep. 2021 Feb 24;7(3):20200126. doi: 10.1259/bjrcr.20200126. eCollection 2021 May 1.