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Sequestrated Intradural Disc Herniation Around Couns Medullaris - A Case Report -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2014, 21(3), pp.134-138
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

이재원 1 Park Ye-Soo 2 서완식 1 Oh Young Ha 2

1한양대학교 의과대학 구리병원 정형외과학교실
2한양대학교

Accredited

ABSTRACT

Study Design: A case report. Objectives: To report a rare case of intradural disc herniation (IDH) around conus medullaris. Summary of Literature Review: IDH is rare with an incidence of less than 1% of all lumbar disc herniations. It is important todifferentiate IDH from other condition with accurate diagnosis and subsequent surgical treatment. IDH has a higher risk of neurologicdeficit, like conus medullaris syndrome and cauda equina syndrome. Materials and Methods: A 62 year-old male was affected by lumbar back pain radiating to the anterolateral aspect of the right thighfor 5 days. MRI showed a mass that existed on the anterior portion of the conus medullaris. We performed partial laminectomy at the L1-L2level. The mass located anteriorly in the intradural space was eliminated after durotomy by a posterior approach. Results: We confirmed the IDH for histopathology. Conclusions: IDH usually needs accurate differential diagnosis. Preoperative MRI scans are necessary to differentiate IDH from otherintradural lesions. The confirmative diagnosis can be done only in the operative field. Key Words: Intradural disc herniation, Conus medullaris

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