INTRADURAL LUMBAR DISC HERNIATION: CASE REPORT AND LITERATURE REVIEW

Hữu Đức Hoàng1,, Văn Cường Vũ1, Thế Hưng Đinh1, Duy Linh Nguyễn1, Đức Anh Lê1, Thị Giang Vũ1, Mạnh Tiến Đàm1, Ngọc Sơn Đinh1,2
1 GERMANY FRIENDSHIP HOSPITAL
2 HMU

Main Article Content

Abstract

Lumbar intradural disk herniation (IDH) is a rare but serious complication of spinal disk protrusions. Diagnosis is still difficult despite current neuroradiologic imaging techniques and  their surgical treatment requires a transdural approach. A 59 years old male, who had low back pain and radiculopathy L2 pain of 1 week duration. Neurological examination showed strength L2 2/5. The patients underwent surgery and in this case a hard mass was palpated through the dura. The patients experienced immediate postoperative relief of back pain following surgery. His neurologic deficit returned.

Article Details

References

1. Epstein NE, Syrquin MS, Epstein JA, Decker RE. Intradural disc herniations in the cervical, thoracic and lumbar spine: report of three cases and review of the literature. J Spinal Disord. 1990;3(4):396–403
2. Oztürk A, Avci E, Yazgan P, Torun F, Yücetaş S, Karabağ H. Intradural herniation of intervertebral disk at the level of lumbar 1–lumbar 2. Turk Neurosurg 2007;17(2):134–7
3. Giancarlo D’Andrea • Giuseppe Trill, Raffaelino Roperto, Intradural lumbar disc herniations: the role of MRI in preoperative diagnosis and review of the literature, Neurosurg Rev (2004) 27:75–80 DOI 10.1007/s10143-003-0296-3.
4. Yildizhan A, Paşaoğlu A, Okten T, Ekinci N, Aycan K, Aral O. Intradural disk herniations pathogenesis, clinical picture, diagnosis and treatment. Acta Neurochir (Wien) 1991;110(3–4):160–5
5. Kardaun JW, White LR, Shaffer WO. Acute complications in patients with surgical treatment of lumbar herniated disc. J Spinal Disord. 1990;3(1):30–38. doi: 10.1097/00002517-199003000-00006.
6. Blikra G. Intradural herniated lumbar disc. J Neurosurg. 1969;31:676–679. doi: 10.3171/jns.1969.31.6.0676.
7. Lee JS, Suh KT. Intradural disc herniation at L5–S1 mimicking an intradural extramedullary spinal tumor: a case report. J Korean Med Sci. 2006;21:778–780. doi: 10.3346/jkms.2006.21.4.778