Öz
Intradural disc herniation has been reported as a rare and particular type of intervertebral disc herniation. It occurs mostly in the lumbar spine, and rarely in the cervical or thoracic spine. Non-traumatic cervical intradural disc herniation is rare, with only 17 cases reported in English literature at the cervical region and can manifest itself by severe symptoms such as Brown-Sequard syndrome, transverse myelopathy and radiculopathy. We present a unique case of intradural cervical disc herniation only causing lower extremity monoplegia. To our knowledge, this is the first case described in the literature. The patient underwent microsurgical removal of the herniated disc via an anterior approach followed by interbody fixation using a cervical cage. J Clin Exp Invest 2014; 5 (1): 112-114
Anahtar Kelimeler
Kaynakça
- Iwamura Y, Onari K, Kondo S, et al. Cervical intradural disc herniation. Spine 2001;26:698-702.
- Schneider SJ, Grossman RG, Bryan RN. Magnetic res- onance imaging of transdural herniation of a cervical disk. Surgical neurology 1988;30:216-219.
- Borm W, Bohnstedt T. Intradural cervical disc hernia- tion. Case report and review of the literature. J Neuro- surg 2000;92:221-224.
- Clatterbuck RE, Belzberg AJ, Ducker TB. Intradural cervical disc herniation and Brown-Sequard’s syn- drome. Report of three cases and review of the litera- ture. J Neurosurg 2000;92:236-240.
- Caetano de Barros A, Caetano de Barros M. Traumatic extradural and intradural herniation of cervical disk treated surgically. Surg Neurol 1984;21:577-580.
- Destee A, Lesoin F, Di Paola F, et al. Intradural her- niated cervical disc associated with chiropractic spi- nal manipulation. J Neurol Neurosurg Psychiatry 1989;52:1113.
- Eisenberg RA, Bremer AM, Northup HM. Intradural her- niated cervical disk: a case report and review of the literature. AJNR Am J Neuroradiol 1986;7:492-494.
- Epstein NE, Syrquin MS, Epstein JA, et al. Intradural disc herniations in the cervical, thoracic, and lumbar spine: report of three cases and review of the litera- ture. J Spinal Dis 1990;3:396-403.
- Lechowski S, Urbaniak J. [Intradural herniation of the in- tervertebral disk of the cervical segment of the spine]. Neurologia i neurochirurgia polska 1986;20:589-591.
- Lee ST, Cheng SY, Lui TN. Intradural rupture of cervi- cal intervertebral disc. Spine 1989;14:1412-1414.
- Mihara H, Ohnari K, Tanaka K. Intradural disc hernia- tion in the cervical spine: a case report [in Japanese]. Kanto Seikei Saigai Gekagakkai 1998;29:27-32.
- Neroni M, Gazzeri R, Galarza M, et al. Intradural cer- vical disc herniation in a Klippel-Feil patient. Spine 2007;32:608-610.
- Ozer AF, Ozek MM, Pamir MN, et al. Intradural rupture of cervical vertebral disc. Spine 1994;19:843-845.
- Parnell AP. Cervical intradural disc protrusion. J Neu- rol Neurosurg Psychiatry 1988;51:1007.
- Roda JM, Gonzalez C, Blazquez MG, et al. Intradu- ral herniated cervical disc. Case report. J Neurosurg 1982;57:278-280.
Öz
Dura içi disk herniasyonu nadir olarak bildirilmiştir ve intervertebral disk herniasyonlarının özel bir tipidir. En çok lomber bölgede görülür ve servikal ve torakal bölgede nadirdir. Travma olmaksızın servikal dura içi disk herniasyonu oldukça nadir görülüp, İngilizce literatürde 17 olgu bildirilmiştir ve Brown-Sequard sendromu, transvers myelopati ve radikülopati şeklinde kendini gösterebilir. Biz alt ekstremitede sadece monoplejiye neden olan nadir bir servikal intradural disk hernisi olgusunu sunduk. Bilgimize göre bu literatürde tanımlanan ilk olgudur. Olguya anterior yaklaşımla mikrodisektomi sonrası servikal kafes uygulaması yapıldı.
Anahtar Kelimeler
Kaynakça
- Iwamura Y, Onari K, Kondo S, et al. Cervical intradural disc herniation. Spine 2001;26:698-702.
- Schneider SJ, Grossman RG, Bryan RN. Magnetic res- onance imaging of transdural herniation of a cervical disk. Surgical neurology 1988;30:216-219.
- Borm W, Bohnstedt T. Intradural cervical disc hernia- tion. Case report and review of the literature. J Neuro- surg 2000;92:221-224.
- Clatterbuck RE, Belzberg AJ, Ducker TB. Intradural cervical disc herniation and Brown-Sequard’s syn- drome. Report of three cases and review of the litera- ture. J Neurosurg 2000;92:236-240.
- Caetano de Barros A, Caetano de Barros M. Traumatic extradural and intradural herniation of cervical disk treated surgically. Surg Neurol 1984;21:577-580.
- Destee A, Lesoin F, Di Paola F, et al. Intradural her- niated cervical disc associated with chiropractic spi- nal manipulation. J Neurol Neurosurg Psychiatry 1989;52:1113.
- Eisenberg RA, Bremer AM, Northup HM. Intradural her- niated cervical disk: a case report and review of the literature. AJNR Am J Neuroradiol 1986;7:492-494.
- Epstein NE, Syrquin MS, Epstein JA, et al. Intradural disc herniations in the cervical, thoracic, and lumbar spine: report of three cases and review of the litera- ture. J Spinal Dis 1990;3:396-403.
- Lechowski S, Urbaniak J. [Intradural herniation of the in- tervertebral disk of the cervical segment of the spine]. Neurologia i neurochirurgia polska 1986;20:589-591.
- Lee ST, Cheng SY, Lui TN. Intradural rupture of cervi- cal intervertebral disc. Spine 1989;14:1412-1414.
- Mihara H, Ohnari K, Tanaka K. Intradural disc hernia- tion in the cervical spine: a case report [in Japanese]. Kanto Seikei Saigai Gekagakkai 1998;29:27-32.
- Neroni M, Gazzeri R, Galarza M, et al. Intradural cer- vical disc herniation in a Klippel-Feil patient. Spine 2007;32:608-610.
- Ozer AF, Ozek MM, Pamir MN, et al. Intradural rupture of cervical vertebral disc. Spine 1994;19:843-845.
- Parnell AP. Cervical intradural disc protrusion. J Neu- rol Neurosurg Psychiatry 1988;51:1007.
- Roda JM, Gonzalez C, Blazquez MG, et al. Intradu- ral herniated cervical disc. Case report. J Neurosurg 1982;57:278-280.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 5 Sayı: 1 |