Intradural Lumbar Disc Herniation: Updated Report of a Case with Literature Review

被引:1
作者
Hoang-Long Nguyen [1 ,2 ]
Manh-Hung Do [1 ]
Hoang-Long Vo [3 ]
Nguyen, Bao-Tien L. [4 ]
机构
[1] Viet Duc Univ Hosp, Spinal Surg Dept, Hanoi 100000, Vietnam
[2] Vietnam Natl Univ, Sch Med & Pharm, Hanoi 100000, Vietnam
[3] Hanoi Med Univ, Inst Prevent Med & Publ Hlth, Hanoi 100000, Vietnam
[4] Viet Duc Univ Hosp, Inst Orthopaed & Trauma Surg, Hanoi 100000, Vietnam
关键词
intradural disc herniation; ILDH; cauda equina syndrome; spine surgery; PATHOGENESIS; DIAGNOSIS;
D O I
10.3390/reports5010009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Intradural lumbar disc herniation is a rare complication of disc disease. The mechanism by which a herniated disc tears the dura matter remains unknown. The preoperative diagnosis of an intradural lumbar disc herniation is still difficult. We report our experience dealing with a case of intradural lumbar disc herniation at level L3/4 in a 34-year-old man. Based on current experience, we found that attachment of the ventral dura to the posterior longitudinal ligament can be a favorable factor indicating intradural lumbar disc herniation. One should pay attention to those with cauda equina syndrome, as it can thereby promptly suggest a preoperative diagnosis of intradural lumbar disc herniation. Surgeons need to avoid omitting intraoperative lesions by palpating the dura mater during surgery for suspected tumor cases.
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页数:5
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