Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review
Only 0.26% of all disc herniations are caused by intradural disc herniation (IDH), making it a rare pathology. We present the case of a 44-year-old man who suffered from right radicular low back pain and motor impairments. At the level of L3–L4, magnetic resonance imaging (MRI) revealed an intradura...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Indian Spine Journal |
| Subjects: | |
| Online Access: | http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=94;epage=96;aulast=Nguyen |
| _version_ | 1797246382231257088 |
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| author | Vinh-Lac Nguyen Trong-Hieu Le Duc-Hoang Tran Thanh-Minh Nguyen |
| author_facet | Vinh-Lac Nguyen Trong-Hieu Le Duc-Hoang Tran Thanh-Minh Nguyen |
| author_sort | Vinh-Lac Nguyen |
| collection | DOAJ |
| description | Only 0.26% of all disc herniations are caused by intradural disc herniation (IDH), making it a rare pathology. We present the case of a 44-year-old man who suffered from right radicular low back pain and motor impairments. At the level of L3–L4, magnetic resonance imaging (MRI) revealed an intradural, extra-axial spinal mass. This individual had several specific MRI imaging characteristics. Laminectomy, durotomy, and transforaminal lumbar interbody fusion surgery was performed, and the disc was completely removed. At the 6-month follow-up, the patient showed full recovery. The diagnosis of IDH is very challenging and every spine surgeon must be aware. The best treatment for this pathology is surgical intervention. |
| first_indexed | 2024-04-24T19:41:54Z |
| format | Article |
| id | doaj.art-4b3854bba1a54f129f2b14ea9a9e4032 |
| institution | Directory Open Access Journal |
| issn | 2589-5079 2589-5087 |
| language | English |
| last_indexed | 2024-04-24T19:41:54Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Spine Journal |
| spelling | doaj.art-4b3854bba1a54f129f2b14ea9a9e40322024-03-25T10:58:51ZengWolters Kluwer Medknow PublicationsIndian Spine Journal2589-50792589-50872024-01-0171949610.4103/isj.isj_54_23Intradural lumbar disc herniation at the L3–L4 level: A case report and literature reviewVinh-Lac NguyenTrong-Hieu LeDuc-Hoang TranThanh-Minh NguyenOnly 0.26% of all disc herniations are caused by intradural disc herniation (IDH), making it a rare pathology. We present the case of a 44-year-old man who suffered from right radicular low back pain and motor impairments. At the level of L3–L4, magnetic resonance imaging (MRI) revealed an intradural, extra-axial spinal mass. This individual had several specific MRI imaging characteristics. Laminectomy, durotomy, and transforaminal lumbar interbody fusion surgery was performed, and the disc was completely removed. At the 6-month follow-up, the patient showed full recovery. The diagnosis of IDH is very challenging and every spine surgeon must be aware. The best treatment for this pathology is surgical intervention.http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=94;epage=96;aulast=Nguyencase reportcrumble disc signintradural disc herniationlumbar herniated discspinal surgery |
| spellingShingle | Vinh-Lac Nguyen Trong-Hieu Le Duc-Hoang Tran Thanh-Minh Nguyen Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review Indian Spine Journal case report crumble disc sign intradural disc herniation lumbar herniated disc spinal surgery |
| title | Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review |
| title_full | Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review |
| title_fullStr | Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review |
| title_full_unstemmed | Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review |
| title_short | Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review |
| title_sort | intradural lumbar disc herniation at the l3 l4 level a case report and literature review |
| topic | case report crumble disc sign intradural disc herniation lumbar herniated disc spinal surgery |
| url | http://www.isjonline.com/article.asp?issn=2589-5079;year=2024;volume=7;issue=1;spage=94;epage=96;aulast=Nguyen |
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