Abstract
Dorsal epidural disc migration (DEDM) is a rare and atypical presentation of lumbar disc herniation characterized by the migration of a disc fragment into the dorsal epidural space. This unusual migration pattern presents unique diagnostic challenges, as it can mimic other serious spinal pathologies such as epidural abscesses, hematomas, and synovial cysts. Magnetic resonance imaging (MRI) remains the gold standard for accurately diagnosing DEDM and differentiating it from other pathologies. Surgical intervention, particularly microdiscectomy, has shown favorable outcomes in resolving symptoms associated with nerve compression and minimizing recurrence rates. This report presents a case of DEDM in a 39-year-old male with persistent sciatica, analyzing MRI characteristics and surgical treatment.