Intradural disc herniation: how I do it
Rodrigo V (1), Claramonte M (2), Martín M (2), Calatayud JB (2).
1 Department of Neurosurgery, Hospital Clínico Universitario Lozano Blesa, C/San Juan Bosco 15, 50009, Zaragoza, Spain.
2 Department of Neurosurgery, Hospital Clínico Universitario Lozano Blesa, C/San Juan Bosco 15, 50009, Zaragoza, Spain.
Magazine: Acta Neurochirurgica
Date: Mar 12, 2018Neurosurgery Department
Intradural disc herniation is a rare phenomenon in spine surgery. Diagnosis is difficult despite current neuroradiologic imaging techniques.
We present a case of a 59-year-old man with lumbar and radicular pain and a recurrent lumbar herniation. A laminectomy was performed after no clear disc herniation in the epidural space was found and an intradural mass was palpable. A durotomy showed an intradural disc fragment that was removed, followed by an arthrodesis.
Only intraoperative findings lead to a definitive diagnosis for intradural herniation. A durotomy needs to be performed. In this case, an arthrodesis was necessary to avoid complications of segmental instability.
CITATION Acta Neurochir (Wien). 2018 May;160(5):945-947. doi: 10.1007/s00701-018-3510-3. Epub 2018 Mar 12
you maybe interested
The Clínica is the greater private hospital with technological equipment of Spain, all in a single center.
The professionals of the Clínica perform continuous research and training, always to the benefit of the patient.
Learn why we are different from other healthcare centers. Quality, speed, comfort and results.