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Review
. 2013 May;22 Suppl 3(Suppl 3):S404-8.
doi: 10.1007/s00586-012-2516-4. Epub 2012 Sep 27.

Intradural lumbar disc herniation: report of five cases with literature review

Luis Gustavo Ducati  1 , Mateus Violin Silva, Michele Madeira Brandão, Flavio Ramalho Romero, Marco Antonio Zanini
Affiliations
Review

Intradural lumbar disc herniation: report of five cases with literature review

Luis Gustavo Ducati et al. Eur Spine J. 2013 May.

Abstract

Introduction: Intradural lumbar disc herniations are uncommon presentations of a relatively frequent pathology, representing less than 1% of all lumbar disc hernias. They show specific features concerning their clinical diagnosis, with a higher incidence of cauda equina syndrome, and their surgical treatment requires a transdural approach.

Methods: In this article, we describe five cases of this pathology and review the literature as well as some considerations about the difficulties in the preoperative diagnostic issues and the surgical technique.

Conclusion: We concluded that for intradural disc herniations the diagnosis is mainly intraoperative, and the surgical technique has some special aspects.

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Figures

Fig. 1
Fig. 1
T2W MRI showing a huge L4–L5 herniated disc
Fig. 2
Fig. 2
Intraoperative aspect of the herniated disc
See this image and copyright information in PMC

Comment in

References

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