Intradural Lumbar Disc Herniation: Updated Report of a Case with Literature Review

Intradural lumbar disc herniation is a rare complication of disc disease. The mechanism by which a herniated disc tears the dura matter remains unknown. The preoperative diagnosis of an intradural lumbar disc herniation is still difficult. We report our experience dealing with a case of intradural l...

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Bibliographic Details
Main Authors: Hoang-Long Nguyen, Manh-Hung Do, Hoang-Long Vo, Bao-Tien L. Nguyen
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Reports
Subjects:
Online Access:https://www.mdpi.com/2571-841X/5/1/9
Description
Summary:Intradural lumbar disc herniation is a rare complication of disc disease. The mechanism by which a herniated disc tears the dura matter remains unknown. The preoperative diagnosis of an intradural lumbar disc herniation is still difficult. We report our experience dealing with a case of intradural lumbar disc herniation at level L3/4 in a 34-year-old man. Based on current experience, we found that attachment of the ventral dura to the posterior longitudinal ligament can be a favorable factor indicating intradural lumbar disc herniation. One should pay attention to those with cauda equina syndrome, as it can thereby promptly suggest a preoperative diagnosis of intradural lumbar disc herniation. Surgeons need to avoid omitting intraoperative lesions by palpating the dura mater during surgery for suspected tumor cases.
ISSN:2571-841X