Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1394
9
1
gregorian
2015
12
1
1
3
online
1
fulltext
en
Diagnostic and Therapeutic Implications of Conjoined Nerve Root Anomalies: A Senegalese Study of Three Cases
Gamma Knife Radiosurgery
Case report
<p style="text-align: justify;"><strong>Background & Aim</strong>: Conjoined nerve root is defined as two adjacent nerve roots that share a common dural envelope at some points during their course from the thecal sac. This study reports our experience of conjoined roots involving three cases in Dakar.</p>
<p style="text-align: justify;"><strong>Methods & Materials/Patients: </strong>This is a consecutive study from 2013 to 2015 involving patients supported for disc herniation and who have presented conjoined nerve root anomalie s.</p>
<p style="text-align: justify;"><strong>Results:</strong> Three patients aged 32, 35 and 55 including two men have been concerned. Clinical analysis was done on sciatica with neuropathic occurrences in one case and lumbosciatica in two cases. The Lasegue sign was present in two patients at 45°. All three patients benefited a lumbar computerized tomography (CT scan) highlighting a degenerative disc disease with two in L5S1 space and one in L4L5 space. The imaging has not objectified radicular emerging anomalies. MRI objectified only one big root. A surgical root decompression was realized through interlaminar discectomy approach; foraminotomy and full laminectomy enabling diagnosis in intraoperative period. The evolution was favourable in all three cases with full recession of sympto matology.</p>
<p style="text-align: justify;"><strong>Conclusion:</strong> This study is the first Senegalese series on the lumbo-sciatica by anomaly of root emergence and highlights especially the difficulties for the diagnosis of these anomalies like other sub-Saharan African countries where expansion of MRI for the diagnosis is low, and still very expensive. MRI provides guidance signs and a large root appearance can warn about the existence of these anomalies. A good root release improves the symptoms. </p>
Conjoined roots, MRI, Surgery
21
25
http://irjns.org/browse.php?a_code=A-10-100-30&slc_lang=en&sid=1
Yannick
Canton Kessely
یانیک
کانتون کسلی
10031947532846003030
10031947532846003030
Yes
MD, Neurosurgeon, Grand Yoff Hospital, Dakar, Senegal
Ibrahima
Tine
ابراهیما
تاین
10031947532846003031
10031947532846003031
No
MD, Neurosurgeon, Princioal Hosoital, Dakar, Senegal
Maguette
Gaye Sakho
ماگت
گایه ساخو
10031947532846003032
10031947532846003032
No
MD, Neurosurgeon, Assistant Professor, Grand Yoff Hospital, Dakar, Senegal
Maguette
Mbaye
ماگت
امبای
10031947532846003033
10031947532846003033
No
MD, Neurosurgeon, Assistant Professor, Fann Hospital, Dakar, Senegal
Mahamoud
Ali Meidal
محمود
علی میدال
10031947532846003034
10031947532846003034
No
MD, Neurosurgeon, Fann Hospital, Dakar, Senegal
Youssou
Traore
یوسو
ترااور
10031947532846003035
10031947532846003035
No
MD, Neurosurgeon, Fann Hospital, Dakar, Senegal
Abdoul Azize
Diop
عبدالعزیز
دیوپ
10031947532846003036
10031947532846003036
No
MD, Professor of Neurosurgery, Head of Service of Neurosurgery, Department of Princioal Hosoital, Dakar, Senegal
Youssoupha
Sakho
یوسفا
ساخو
10031947532846003037
10031947532846003037
No
MD, Professor of Neurosurgery, Head of Service of Neurosurgery, Department of Grand Yoff Hosoital