Fibrocartilaginous Embolism Presenting as Isolated L2-3 Radiculopathy Without Spinal Cord Infarction.
Ji Yun Kim, Min Kyung Park, Hong Bum Park et al.
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Case in brief
A 54-year-old female presented with right lower limb weakness and sensory impairment following heavy lifting. MRI revealed infarctions in the L3 vertebral body and right L3 dorsal root ganglion, while CT angiography showed embolic occlusion of the right third lumbar artery. Electromyography confirmed right L2-3 radiculopathy. The patient was treated conservatively with aspirin and physical therapy, leading to gradual improvement in symptoms.
What made this case unusual
This case uniquely highlights isolated L2-3 radiculopathy due to fibrocartilaginous embolism without accompanying spinal cord infarction.
Diagnostic / clinical pearl
Clinicians should consider fibrocartilaginous embolism as a potential cause of isolated radiculopathy, particularly in patients with a history of heavy lifting.
Why it matters
Recognizing this condition can lead to timely diagnosis and appropriate management, potentially improving patient outcomes in similar cases.