Intradural disc herniation is a rare presentation of a common pathology, comprising around 0.28-0.3% of all disc herniations. It occurs when disc material related to an intervertebral disc penetratesthe spinal dura and lies in an intradural extramedullary location. A 60 years old male patientpresented with complaints of low back pain and right lower limb radiculopathy of 2 weeks duration.Neurological examination revealed the weakness of extensor hallucis longus and ankle dorsiflexionwith diminished sensation corresponding to fourth and fifth lumbar (L4-L5) dermatome on the rightside. Magnetic resonance imaging showed a large sequestered fragment with intradural extensionsand posterior longitudinal ligament tear. Intradural nerve root showed significant displacementwith severe central canal and right lateral recess stenosis. Discectomy was performed along with theremoval of the intradural extension. The postoperative course was uneventful.
The unilateral glenohumeral dislocation is the most commonly encountered dislocation in our practices but the simultaneous bilateral dislocation is very rarely seen entity. It almost always occurs posteriorly. While simultaneous bilateral anterior dislocations present even very rare. We report a case of 70-years-old male who visited to our emergency complex due to trauma after he fell into the bathroom in a drunk state. Patient complains of pain and deformity of both glenohumeral joints. Clinical and radiological findings revealed bilateral anterior glenohumeral joint dislocation. Close reduction under general anaesthesia was done and both shoulders were immobilized using shoulder immobilizer.
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