title: Case Report: A case report highlighting bilateral EDB wasting as a clinical marker for lumbar canal stenosis.
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 digitorm 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.
authors.affiliation: Department of Neurosurgery, College of Medical Sciences, Chitwan, Nepal.
authors.forename: Bijoy Mohan
authors.initials: BM
authors.lastname: Kumar
authors.affiliation: Department of Neurosurgery, College of Medical Sciences, Chitwan, Nepal.
authors.forename: Sunil
authors.initials: S
authors.lastname: Munakomi
keywords: dural wasting; extensor digitorum brevis; lumbar canal stenosis