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Intradural disc herniation - a case report.
Turk Neurosurg. 2013; 23(3):389-91.TN

Abstract

Intradural disc herniation is a rare entity that occurs most commonly in the lumbar spine particularly at L4-L5 region. Most often it is diagnosed intraoperatively in a case of simple intervertebral disc herniation. Contrast enhanced MRI is mandatory for pre operative diagnosis. We describe a case of a 40-year-old female who presented to us with pain lower back, pain in both lower limbs and urinary retention after a fall. She had previously been diagnosed as a case of prolapsed intervertebral disc disease and was being managed conservatively. An unenhanced MRI revealed a large disc herniation at L4-L5 level. L4 and L5 laminectomy was performed and a hard intradural mass was palpable. On opening the dura a fragment of intervertebral disc was found with a small rent in the anterior dura. The fragment was removed and the rent was sutured. The patient recovered well from the surgery. Intradural disc herniations must be considered in the differential diagnosis of prolapsed intervertebral disc disease especially with recent worsening of symptoms and mismatch of unenhanced MRI findings with intraoperative findings.

Authors+Show Affiliations

S.M.S Medical College and Hospital, Department of Neurosurgery, Jaipur, India. shashi_neelu@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23756981

Citation

Jain, S K., et al. "Intradural Disc Herniation - a Case Report." Turkish Neurosurgery, vol. 23, no. 3, 2013, pp. 389-91.
Jain SK, Sundar IV, Sharma V, et al. Intradural disc herniation - a case report. Turk Neurosurg. 2013;23(3):389-91.
Jain, S. K., Sundar, I. V., Sharma, V., Goel, R. S., & Gupta, R. (2013). Intradural disc herniation - a case report. Turkish Neurosurgery, 23(3), 389-91. https://doi.org/10.5137/1019-5149.JTN.5437-11.1
Jain SK, et al. Intradural Disc Herniation - a Case Report. Turk Neurosurg. 2013;23(3):389-91. PubMed PMID: 23756981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intradural disc herniation - a case report. AU - Jain,S K, AU - Sundar,I Vijay, AU - Sharma,Vinod, AU - Goel,Ravishankar S, AU - Gupta,Rajesh, PY - 2013/6/13/entrez PY - 2013/6/13/pubmed PY - 2014/2/11/medline SP - 389 EP - 91 JF - Turkish neurosurgery JO - Turk Neurosurg VL - 23 IS - 3 N2 - Intradural disc herniation is a rare entity that occurs most commonly in the lumbar spine particularly at L4-L5 region. Most often it is diagnosed intraoperatively in a case of simple intervertebral disc herniation. Contrast enhanced MRI is mandatory for pre operative diagnosis. We describe a case of a 40-year-old female who presented to us with pain lower back, pain in both lower limbs and urinary retention after a fall. She had previously been diagnosed as a case of prolapsed intervertebral disc disease and was being managed conservatively. An unenhanced MRI revealed a large disc herniation at L4-L5 level. L4 and L5 laminectomy was performed and a hard intradural mass was palpable. On opening the dura a fragment of intervertebral disc was found with a small rent in the anterior dura. The fragment was removed and the rent was sutured. The patient recovered well from the surgery. Intradural disc herniations must be considered in the differential diagnosis of prolapsed intervertebral disc disease especially with recent worsening of symptoms and mismatch of unenhanced MRI findings with intraoperative findings. SN - 1019-5149 UR - https://www.unboundmedicine.com/medline/citation/23756981/Intradural_disc_herniation___a_case_report_ L2 - http://www.turkishneurosurgery.org.tr/pubmed.php3?year=2013&volume=23&issue=3&page=389 DB - PRIME DP - Unbound Medicine ER -