Cranially Migrated Disc Prolapse

Clinical Presentation and Diagnosis

Severe cases of cranially migrated disc prolapse can present with symptoms of Cauda-Equina-Syndrom, such as bladder and bowel dysfunction 1
Magnetic Resonance Imaging (MRI) is the preferred imaging method for diagnosing cranially migrated disc prolapse, as it provides better visualization of soft tissue, bone marrow, and spinal canal 2
Computed Tomography (CT) can be used as a supplementary imaging method, especially when evaluating bony structures 2
Diagnosis should be based on a combination of clinical examination and imaging diagnostics 2

The natural course of disc prolapse with radiculopathy is generally favorable, with improvement within the first 4 weeks under conservative therapy 2
Conservative treatment should be considered as the first option, including staying active instead of bed rest 2
Early diagnosis and treatment are crucial in cases of Cauda-Equina-Syndrom to avoid long-term neurological deficits 1
Bilateral radicular pain and/or sensory disturbances can indicate Cauda-Equina-Syndrom, and bladder and bowel dysfunction are alarming symptoms 1