L5 nerve root duplication in the setting of MRI-depicted L5-S1 disk herniation

Desmond A. Brown, John L D Atkinson

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Lumbosacral nerve root anomalies are rare anatomic variations with a predilection for the lumbosacral spine. Among these, conjoined nerve roots are the most common with other rare variants such as nerve root duplication occurring far less frequently. While these anatomic variations are exceedingly rare, their presence has significant clinical ramifications. Undiagnosed lumbosacral nerve root anomalies are at risk for iatrogenic injury, may contribute to wrong-site surgery and contribute to continued postoperative symptoms. Herein, we present a case of a 74 year-old female with diskogenic back pain and L5 radiculopathy found to have a duplicated L5 nerve root intraoperatively. Interestingly, the L5-S1 disk was found to be normal and unlikely to contribute to her presentation. She underwent L5-S1 laminectomy and L5 foraminotomy with resolution of her L5 radicular symptoms postoperatively.

Original languageEnglish (US)
Pages (from-to)139-141
Number of pages3
JournalInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
Volume2
Issue number3
DOIs
StatePublished - Jun 26 2015

Fingerprint

Anatomic Variation
Foraminotomy
Medical Errors
Radiculopathy
Laminectomy
Back Pain
Spine
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

L5 nerve root duplication in the setting of MRI-depicted L5-S1 disk herniation. / Brown, Desmond A.; Atkinson, John L D.

In: Interdisciplinary Neurosurgery: Advanced Techniques and Case Management, Vol. 2, No. 3, 26.06.2015, p. 139-141.

Research output: Contribution to journalArticle

@article{6328ea0e75454601a3f3cc6ed2145968,
title = "L5 nerve root duplication in the setting of MRI-depicted L5-S1 disk herniation",
abstract = "Lumbosacral nerve root anomalies are rare anatomic variations with a predilection for the lumbosacral spine. Among these, conjoined nerve roots are the most common with other rare variants such as nerve root duplication occurring far less frequently. While these anatomic variations are exceedingly rare, their presence has significant clinical ramifications. Undiagnosed lumbosacral nerve root anomalies are at risk for iatrogenic injury, may contribute to wrong-site surgery and contribute to continued postoperative symptoms. Herein, we present a case of a 74 year-old female with diskogenic back pain and L5 radiculopathy found to have a duplicated L5 nerve root intraoperatively. Interestingly, the L5-S1 disk was found to be normal and unlikely to contribute to her presentation. She underwent L5-S1 laminectomy and L5 foraminotomy with resolution of her L5 radicular symptoms postoperatively.",
author = "Brown, {Desmond A.} and Atkinson, {John L D}",
year = "2015",
month = "6",
day = "26",
doi = "10.1016/j.inat.2015.06.003",
language = "English (US)",
volume = "2",
pages = "139--141",
journal = "Interdisciplinary Neurosurgery: Advanced Techniques and Case Management",
issn = "2214-7519",
publisher = "Elsevier BV",
number = "3",

}

TY - JOUR

T1 - L5 nerve root duplication in the setting of MRI-depicted L5-S1 disk herniation

AU - Brown, Desmond A.

AU - Atkinson, John L D

PY - 2015/6/26

Y1 - 2015/6/26

N2 - Lumbosacral nerve root anomalies are rare anatomic variations with a predilection for the lumbosacral spine. Among these, conjoined nerve roots are the most common with other rare variants such as nerve root duplication occurring far less frequently. While these anatomic variations are exceedingly rare, their presence has significant clinical ramifications. Undiagnosed lumbosacral nerve root anomalies are at risk for iatrogenic injury, may contribute to wrong-site surgery and contribute to continued postoperative symptoms. Herein, we present a case of a 74 year-old female with diskogenic back pain and L5 radiculopathy found to have a duplicated L5 nerve root intraoperatively. Interestingly, the L5-S1 disk was found to be normal and unlikely to contribute to her presentation. She underwent L5-S1 laminectomy and L5 foraminotomy with resolution of her L5 radicular symptoms postoperatively.

AB - Lumbosacral nerve root anomalies are rare anatomic variations with a predilection for the lumbosacral spine. Among these, conjoined nerve roots are the most common with other rare variants such as nerve root duplication occurring far less frequently. While these anatomic variations are exceedingly rare, their presence has significant clinical ramifications. Undiagnosed lumbosacral nerve root anomalies are at risk for iatrogenic injury, may contribute to wrong-site surgery and contribute to continued postoperative symptoms. Herein, we present a case of a 74 year-old female with diskogenic back pain and L5 radiculopathy found to have a duplicated L5 nerve root intraoperatively. Interestingly, the L5-S1 disk was found to be normal and unlikely to contribute to her presentation. She underwent L5-S1 laminectomy and L5 foraminotomy with resolution of her L5 radicular symptoms postoperatively.

UR - http://www.scopus.com/inward/record.url?scp=84932634487&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84932634487&partnerID=8YFLogxK

U2 - 10.1016/j.inat.2015.06.003

DO - 10.1016/j.inat.2015.06.003

M3 - Article

AN - SCOPUS:84932634487

VL - 2

SP - 139

EP - 141

JO - Interdisciplinary Neurosurgery: Advanced Techniques and Case Management

JF - Interdisciplinary Neurosurgery: Advanced Techniques and Case Management

SN - 2214-7519

IS - 3

ER -