Impending Discectomy in a Patient with Zoster Induced Sciatica; An Instructive Case Report.
Herpes zoster is a rare cause of non-discogenic sciatica. A combination of case rarity and name similarity was nearly leading to an inopportune surgery in a 21 years old woman. The clinical presentation was completely similar to a cauda equina syndrome associated with urinary incontinence and bilateral leg involvement. Concurrently, lumbosacral imaging of another patient with exactly similar name in the picture archiving communications system (PACS) has shown a huge L5-1 disc herniation. Careful attention to all diverse causes of sciatica and identifying details of the images could prevent improper discectomy in our patient.
Orthopedic Research Center, Department of Orthopedic, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Farzad
F
Omidi-Kashani
Orthopedic Research Center, Department of Orthopedic, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyed Mohammad Ata
SM
Sharifi Dalooei
Discectomy; Herpes zoster; Sciatica