HUGE SEQUESTERED SPINAL DISC WITH TUMOR APPEARANCE: A CASE REPORT

Öz

A 52-year-old man presented with a voluminous mass lesion resembling an intraspinal-extradural tumor on magnetic resonance imaging. He had complaint ofmainly left lower extremity pain and numbnessfor 3 months, which is exacerbated suddenly a couple of days before admission. On neurological examination, he was accompanied by no lateralized motor deficits. Magnetic resonance imaging demonstrated a tumor-like longitudinal lesion, extending from the L4-5 to the L5-S1 intervertebral spaces and occupying more than the left half of the vertebral canal. The lesion, which is reported to be able to an extradural spinal tumor, turned out to be unusual sequestrated disc fragment thanks to the operation

Anahtar Kelimeler

• Disc herniation
• extradural mass
• spinal neoplasm

HUGE SEQUESTERED SPINAL DISC WITH TUMOR APPEARANCE: A CASE REPORT

Öz

A 52-year-old man presented with a voluminous mass lesion resembling an intraspinal-extradural tumor on
magnetic resonance imaging. He had complaint ofmainly left lower extremity pain and numbnessfor 3 months,
which is exacerbated suddenly a couple of days before admission. On neurological examination, he was
accompanied by no lateralized motor deficits. Magnetic resonance imaging demonstrated a tumor-like
longitudinal lesion, extending from the L4-5 to the L5-S1 intervertebral spaces and occupying more than the left
half of the vertebral canal. The lesion, which is reported to be able to an extradural spinal tumor, turned out to be
unusual sequestrated disc fragment thanks to the operation.

Anahtar Kelimeler

• Disc herniation
• extradural mass
• spinal neoplasm

Kaynakça

1. 1. Mixter WJ, Barr JS Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med (1934) 211:210–215
2. 2. Carvi y Nievas MN, Hoellerhage HG. Unusual sequestered disc fragments simulating spinal tumours and other space- occupying lesions. J Neurosurg Spine 11: 42–48, 2009
3. 3. Lidov M, Stollman A, Casden A, Som P, Bederson J. MRI of lumbar intradural disc herniation. Clin Imaging 18: 173–178, 1994
4. 4. Özer E, Yurtsever C, Yücesoy K, Güner M. Lumbar intraradicular disc herniation: report of a rare and preoperatively unpredictable case and review of the literature. Spine J 7: 106–110, 2007
5. 5. Aydın MV, Özel S, Sen O, Erdoğan B, Yıldırım T. Intradural disc mimicking a spinal tumour lesion. Spinal Cord 42: 52–54, 2004
6. 6. Nievas MNC, Hoellerhage HG. Unusual sequestered disc fragments simulating spinal tumors and other space-occupying lesions. J Neurosurg Spine 2009;11:42–8.
7. 7. Ramsey RG: Neuroradiology. Philadelphia, Saunders, 1994
8. 8. Blikra G: Intradural herniated lumbar disc. J Neurosurg 31: 676–679, 1969