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European Journal of General Medicine
Medical Investigations Society
ISSN: 1304-3897
Vol. 2, No. 4, 2005, pp. 164-166
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Bioline Code: gm05036
Full paper language: English
Document type: Research Article
Document available free of charge
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European Journal of General Medicine, Vol. 2, No. 4, 2005, pp. 164-166
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INTRADURAL DISC HERNIATION A case report and review of the literature
Nebi Yilmaz, Nejmi Kiymaz, Ömer Etlik, Çigdem Mumcu
Abstract
Intradural disc herniation (IDH) is a rare pathology. Intradural disc herniations comprise 0.26-0.30% of all herniated discs. The preoperative knowledge of an intradural herniation is important because it has an influence on the operative strategy. A 55-year-old man suffered from decrease in the motor function of the lower extremities and urinary incontinence. Noncontrast MRI exam showed the intradural disc with caudal migration of an excluded fragment at the L3-4 level. At surgery, the L3 and L4 laminas were removed and after dura had been openned, a nucleus pulposus was seen which compressed the conus medullaris to the right and left of the spinal canal. Every neurosurgeuon involved in spinal surgery must be aware of this rare patology which, when overseen during the intervention, could have disastrous consequences for the patient.
Keywords
Intradural disc, surgery, cauda equina syndrome
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