Robe P, Martin D, Lenelle J, Stevenaert A
Department of Neurosurgery, University Hospital of Liège, Belgium.
J Neurosurg. 1999 Apr;90(2 Suppl):264-6. doi: 10.3171/spi.1999.90.2.0264.
The posterior epidural migration of sequestered lumbar disc fragments is an uncommon event. The authors report two such cases in which patients presented with either intense radicular pain or cauda equina syndrome. The radiological characteristics were the posterior epidural location and the ring enhancement of the mass after injection of contrast material. The major diagnostic pitfalls are discussed.
游离腰椎间盘碎片的硬膜外后移是一种罕见的情况。作者报告了两例此类病例,患者表现为剧烈的神经根性疼痛或马尾综合征。影像学特征为硬膜外后位以及注射造影剂后肿块的环形强化。文中讨论了主要的诊断陷阱。