Massive Lumbar Disc Extrusion and Cauda Equina Syndrome in a Female Athlete Following Deadlift Training

We present the case of a 26-year-old female bodybuilder who developed cauda equina syndrome (CES) following repetitive deadlift training. Her symptoms were initially misattributed to muscular strain, resulting in a delayed diagnosis. MRI revealed a massive L5-S1 disc extrusion compressing the cauda equina. She underwent emergency decompression and fusion with partial neurological recovery. This case highlights the importance of recognizing red-flag symptoms and early imaging in athletic populations.

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Publication Details

Journal
Cureus
Published
2025-12-30
DOI
https://doi.org/10.7759/cureus.100428
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
0.00
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article

Massive Lumbar Disc Extrusion and Cauda Equina Syndrome in a Female Athlete Following Deadlift Training

Moath M Alshanqity, Abdulrahman Y Sabbagh, Jannat A Abdulmuttalib
Cureus
Spine and Intervertebral Disc Pathology
article

Massive Lumbar Disc Extrusion and Cauda Equina Syndrome in a Female Athlete Following Deadlift Training

Moath M Alshanqity, Abdulrahman Y Sabbagh, Jannat A Abdulmuttalib
article en

Abstract

We present the case of a 26-year-old female bodybuilder who developed cauda equina syndrome (CES) following repetitive deadlift training. Her symptoms were initially misattributed to muscular strain, resulting in a delayed diagnosis. MRI revealed a massive L5-S1 disc extrusion compressing the cauda equina. She underwent emergency decompression and fusion with partial neurological recovery. This case highlights the importance of recognizing red-flag symptoms and early imaging in athletic populations.

CureusVol. 17(12)
Alfaisal University (SA), King Fahd Medical City (SA), Riyadh Elm University (SA), National Guard Health Affairs (SA)
Gender equality
Openalex Percentile: Top 29%
Spine and Intervertebral Disc Pathology
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