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Intradural disc herniation associated with epidural gas.
Spine (Phila Pa 1976). 1998 Jan 15; 23(2):281-3.S

Abstract

STUDY DESIGN

A case report of a patient suffering from an intradural herniated disc associated with the presence of epidural gas.

OBJECTIVE

To advise spine surgeons of the possible association of intradural disc herniation and epidural gas, to prevent overlooking intradural disc fragments during surgery.

SUMMARY OF BACKGROUND DATA

Three cases of this rare association were published previously, something surprising given the relatively rare occurrence of intradural herniations and the presence of epidural gas.

METHODS

A case is presented where such an association occurred, on the basis of preoperative examinations and intraoperative findings. The literature is reviewed for cases of herniated discs associated with epidural gas and for intradural herniations.

RESULTS

During the open discectomy, after a negative epidural examination, an intradural examination was performed, revealing a disc herniation, which was removed. The patient's postoperative development was satisfactory.

CONCLUSION

The possibility of an intradural herniated disc must always be considered when performing an open discectomy on a patient whose computed tomography scan reveals the presence of epidural gas. In the event that no clear disc herniation is found to justify the clinical symptoms or the previous radiologic findings, an intradural exploration may be indicated.

Authors+Show Affiliations

Orthopaedic Surgery Department, Clínica Urbamín, Pamplona, Navarra, Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

9474740

Citation

Hidalgo-Ovejero, A M., et al. "Intradural Disc Herniation Associated With Epidural Gas." Spine, vol. 23, no. 2, 1998, pp. 281-3.
Hidalgo-Ovejero AM, Garcia-Mata S, Izco-Cabezon T, et al. Intradural disc herniation associated with epidural gas. Spine. 1998;23(2):281-3.
Hidalgo-Ovejero, A. M., Garcia-Mata, S., Izco-Cabezon, T., Garralda-Galarza, G., & Martinez-Grande, M. (1998). Intradural disc herniation associated with epidural gas. Spine, 23(2), 281-3.
Hidalgo-Ovejero AM, et al. Intradural Disc Herniation Associated With Epidural Gas. Spine. 1998 Jan 15;23(2):281-3. PubMed PMID: 9474740.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intradural disc herniation associated with epidural gas. AU - Hidalgo-Ovejero,A M, AU - Garcia-Mata,S, AU - Izco-Cabezon,T, AU - Garralda-Galarza,G, AU - Martinez-Grande,M, PY - 1998/2/25/pubmed PY - 1998/2/25/medline PY - 1998/2/25/entrez SP - 281 EP - 3 JF - Spine JO - Spine VL - 23 IS - 2 N2 - STUDY DESIGN: A case report of a patient suffering from an intradural herniated disc associated with the presence of epidural gas. OBJECTIVE: To advise spine surgeons of the possible association of intradural disc herniation and epidural gas, to prevent overlooking intradural disc fragments during surgery. SUMMARY OF BACKGROUND DATA: Three cases of this rare association were published previously, something surprising given the relatively rare occurrence of intradural herniations and the presence of epidural gas. METHODS: A case is presented where such an association occurred, on the basis of preoperative examinations and intraoperative findings. The literature is reviewed for cases of herniated discs associated with epidural gas and for intradural herniations. RESULTS: During the open discectomy, after a negative epidural examination, an intradural examination was performed, revealing a disc herniation, which was removed. The patient's postoperative development was satisfactory. CONCLUSION: The possibility of an intradural herniated disc must always be considered when performing an open discectomy on a patient whose computed tomography scan reveals the presence of epidural gas. In the event that no clear disc herniation is found to justify the clinical symptoms or the previous radiologic findings, an intradural exploration may be indicated. SN - 0362-2436 UR - https://www.unboundmedicine.com/medline/citation/9474740/Intradural_disc_herniation_associated_with_epidural_gas_ L2 - http://dx.doi.org/10.1097/00007632-199801150-00027 DB - PRIME DP - Unbound Medicine ER -