Sequestrated Intradural Disc Herniation Around Couns Medullaris: A Case Report
Journal of Korean Society of Spine Surgery
; : 134-138, 2014.
Article
Dans Ko
| WPRIM
| ID: wpr-23922
Responsable en Bibliothèque :
WPRO
ABSTRACT
STUDY DESIGN:
A case report.OBJECTIVES:
To report a rare case of intradural disc herniation (IDH) around conus medullaris. SUMMARY OF LITERATURE REVIEW IDH is rare with an incidence of less than 1% of all lumbar disc herniations. It is important to differentiate IDH from other condition with accurate diagnosis and subsequent surgical treatment. IDH has a higher risk of neurologic deficit, like conus medullaris syndrome and cauda equina syndrome. MATERIALS ANDMETHODS:
A 62 year-old male was affected by lumbar back pain radiating to the anterolateral aspect of the right thigh for 5 days. MRI showed a mass that existed on the anterior portion of the conus medullaris. We performed partial laminectomy at the L1-L2level. The mass located anteriorly in the intradural space was eliminated after durotomy by a posterior approach.RESULTS:
We confirmed the IDH for histopathology.CONCLUSIONS:
IDH usually needs accurate differential diagnosis. Preoperative MRI scans are necessary to differentiate IDH from other intradural lesions. The confirmative diagnosis can be done only in the operative field.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Polyradiculopathie
/
Syndrome de compression médullaire
/
Cuisse
/
Imagerie par résonance magnétique
/
Incidence
/
Dorsalgie
/
Diagnostic
/
Diagnostic différentiel
/
Conus
/
Laminectomie
Type d'étude:
Diagnostic_studies
/
Incidence_studies
/
Prognostic_studies
Limites du sujet:
Humans
/
Male
langue:
Ko
Texte intégral:
Journal of Korean Society of Spine Surgery
Année:
2014
Type:
Article