Unilateral swelling of the lower abdominal wall. Unusual clinical manifestation of an upper lumbar disc herniation

Acta Neurochir (Wien). 1992;117(1-2):78-9. doi: 10.1007/BF01400642.

Abstract

Circumscribed unilateral paralysis of abdominal muscles is a rare clinical feature and has previously been described in diabetic neuropathies and traumatic or non-traumatic compressive neuropathies. The paper describes a case presenting with transversus abdominis muscle paralysis and burning paraesthesia in the anterolateral aspect of the thigh caused by a lateral L2-L3 disc herniation. Abdominal echography and the EMG investigation led to the suspicion of a disc prolapse which was eventually verified by myelography completed with a CT scan. Surgery confirmed L2 root compression by a large calcified herniation in the intervertebral foramen L2-L3. The anatomical principles are recalled to explain the clinical manifestations.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Muscles / innervation*
  • Adult
  • Electromyography
  • Humans
  • Intervertebral Disc Displacement / diagnostic imaging*
  • Intervertebral Disc Displacement / surgery
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / surgery
  • Male
  • Myelography
  • Nerve Compression Syndromes / diagnostic imaging*
  • Nerve Compression Syndromes / surgery
  • Paralysis / diagnostic imaging*
  • Paralysis / surgery
  • Paresthesia / diagnostic imaging*
  • Paresthesia / surgery
  • Spinal Nerve Roots / diagnostic imaging*
  • Spinal Nerve Roots / surgery
  • Tomography, X-Ray Computed