Intradural Disc Herniation: A case report and review of the literature

Abstract

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Keywords

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Intradural Disc Herniation: A case report and review of the literature

Abstract

Intradural disc herniation (IDH) is a rare pathology. Intradural disc herniations comprise 0.26-0.30% of all herniated discs. The preoperative knowledge of an intradural herniation is important because it has an influence on the operative strategy. A 55-year-old man suffered from decrease in the motor function of the lower extremities and urinary incontinence. Noncontrast MRI exam showed the intradural disc with caudal migration of an excluded fragment at the L3-4 level. At surgery, the L3 and L4 laminas were removed and after dura had been openned, a nucleus pulposus was seen which compressed the conus medullaris to the right and left of the spinal canal. Every neurosurgeuon involved in spinal surgery must be aware of this rare patology which, when overseen during the intervention, could have disastrous consequences for the patient. Key words: Intradural disc, surgery, cauda equina syndrome

Keywords

• Intradural disc, surgery, cauda equina syndrome

References

1. D’Andrea G, Trillo G, Roperto R et al. intradural disc herniations. The role of MRI in preoperative diagnosis and review of the literature. Neurosurgical Rewiew 2003;27:75-80
2. Epstein NE, Syrquin MS, Epstein JA, Decker RE. Intradural disc herniations in the cervical, thoracic, and lumbar spine. J Spinal Disord 1990;4396-403
3. Jenkins LE, Bowman M, Colter HB, Gildenberg PL. Intradural herniation of a lumbar intervertebral disc. J Spinal Disord 19892(3):2196-200
4. Sarliève P, Delabrousse E, Lair C et al. Intradural disc herniation migration of an excluded fragment. Journal of clinical imaging 2004;28:170-72
5. Aydin MV, Ozel S, Erdogan B, Yildirim T. Intradural disc mimicking: a spinal tumor lesion. Spinal Cord 2004;42:52-4
6. Mut M, Berker M, Palaoglu S. Intradural disc herniations in the lumbar spine and a new classification of intradural disc herniations. Spinal Cord 2001;39:545-8
7. Koç RK, Akdemir H, Öktem IS et al. Intradural lumbar disc herniation: report of two cases. Neurosurg Rev 2001;24: 44-7
8. Negovetic L, Cerina V, Sajko T, Glavic Z. Intradural disc at the T1-T2 level. Croat Med J 2001;42:193-5

9. Hidalgo-Ovejero AM, Garcia-Mata S, Izco-Cabezon T et al. Intradural disc herniation associated with epidural gas. Spine 1998;23:281-3
10. Suzer T, Tahta K, Coskun E. Intraradicular lumbar disc herniation: case report and review of the literature. Neurosurgery 1998;43:400
11. Prestar FJ, Schattke HH. Intradural lumbar disc herniations: report of the three cases. Minim Invasive Neurosurg 1995;38:125-8