ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Acute neurological deficit following lumbar microdiscectomy: a multiple sclerosis relapse mimicking a surgical complication - a case report and literature review.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAcute neurological deficits following lumbar microdiscectomy are most commonly attributed to surgical complications. In this study, we present a case of multiple sclerosis (MS) relapse mimicking a postoperative surgical complication. CASE: A 42-year-old female developed acute left lower extremity plegia in the early postoperative period following L4-5 microdiscectomy. Imaging studies and surgical re-exploration revealed no evidence of a compressive pathology. During clinical follow-up, neurological involvement progressed to the upper extremity. Detailed medical history revealed a prior diagnosis of MS and discontinuation of disease-modifying therapy. Due to contraindication to corticosteroid therapy, therapeutic plasma exchange was initiated, resulting in complete neurological recovery within 48 h.
conclusionIn the presence of negative imaging findings and anatomical incongruity, MS relapse should be considered in the differential diagnosis.
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