Prolapsed disc

A partial requirement for seminar course

Prepared by: Hala Yousef Rabee\s1811023

Alquds university/postgraduate studies\medical imaging department

Presented to: Dr-Mohammed Hjouj

11/11/2020 1
Case study outline
• Patient background information
• Patient diagnosis
• Patient assessment
• Disease explanation
• Medical treatment
• Patient Current status
• Patient MRI images
• Patient report

11/11/2020 2
Patient background information
1- patient tomographic data:

• Age: 30 years old

• Sex: female
• Weight: 68 kgm
• Height: 177 cm

11/11/2020 3
Patient background information
2- patient medical history:

• Two caesarean surgery

• No allergies
• No diseases

11/11/2020 4
Patient background information
3- admission information:

The patient came to x hospital with these symptoms

• Sever lower back pain

• legs pain

11/11/2020 5
Patient Diagnosis
1- Clinical examination

2- L-spine x-ray

3- L-spine MRI

11/11/2020 6
Patient assessment
L-spine x-ray didn’t indicate a clear diagnosis

L-spine MRI indicate the following:

• L4-L5: Central disc prolapse with wide base compressing thecal sac

• L5-S1: Small central disc prolapse

11/11/2020 7
Disease explanation(disc prolapse)
• Disc prolapse or slipped disc disc: occurs when the nucleus of the spinal
disc bulges or prolapses outwards but remains contained within the annulus
fibrosis.

• A prolapsed disc can occur at any point along the spinal column but is most
common in the lumbar spine – this region supports the weight of the upper
body and is therefore more susceptible to the wear and tear effects of the
ageing process. The cervical spine (neck) is also prone to degenerative
conditions due to the greater range of motion of the neck, whereas the
thoracic spine is least likely to suffer from disc related issues as it is the
most stable region of the spine
11/11/2020 8
Disease explanation(disc prolapse)

Normal disc Prolapsed disc

11/11/2020 9
Patient MRI Images

11/11/2020 10
Disease explanation(disc prolapse)
• Symptoms of the disease:

• pain and numbness, most commonly on one side of the body

• pain that extends to your arms or legs
• pain that worsens at night or with certain movements
• pain that worsens after standing or sitting
• pain when walking short distances
• unexplained muscle weakness

11/11/2020 11
Disease explanation(disc prolapse)
• Causes of the disease:
• A slipped disc occurs when the outer ring becomes weak or torn and allows the inner portion to
slip out.

• Weake muscles.

•  Certain motions.

• Overweight individuals.

• Aging.

• Trauma or Injury

11/11/2020 12
Medical treatment
• Sugery (the patient refused) • Exercise

• Medications :
• Physical treatment
1- pirox 20 mg antibiotic
2- joflam 30 mg pain killer • Epidural
3- nerventine 300
4-pantover 40
11/11/2020 13
Patient current status
• The same as she entered the hospital.

• Depends on painkiller medicine.

• Doing some massage and swimming to relief pain.

11/11/2020 14
Patient report

11/11/2020 15