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

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• 作者：Luis Gustavo Ducati (1) (2)
  Mateus Violin Silva (2)
  Michele Madeira Brand?o (2)
  Flavio Ramalho Romero (1)
  Marco Antonio Zanini (1)
  
• 关键词：Intradural herniation ; Lumbar herniated disc ; Cauda equina syndrome ; Microdiscectomy
• 刊名：European Spine Journal
• 出版年：2013
• 出版时间：May 2013
• 年：2013
• 卷：22
• 期：3-supp
• 页码：404-408
• 全文大小：202 KB
• 参考文献：1. D’Andrea G, Trillo G, Roperto R, Celli P, Orlando ER, Ferrante L (2004) Intradural lumbar disc herniations: the role of MRI in preoperative diagnosis and review of the literature. Neurosurg Rev 27:75-0 CrossRef
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  15. Choi JY, Lee SW, Sung KH (2007) Intradural lumbar disc herniation—is it predictable preoperatively? A report of two cases. Spine J 7:111-17 CrossRef
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• 作者单位：Luis Gustavo Ducati (1) (2)
  Mateus Violin Silva (2)
  Michele Madeira Brand?o (2)
  Flavio Ramalho Romero (1)
  Marco Antonio Zanini (1)
  
  1. Department of Neurology and Psychiatry, Hospital das Clinicas da Faculdade de Medicina de Botucatu, University of the State of S?o Paulo (UNESP), District of Rubi?o Junior, Botucatu, SP, CEP 18618-970, Brazil
  2. Hospital Unimed Bauru, Bauru, SP, Brazil
  
• ISSN：1432-0932

文摘

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.