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腰椎间盘突出症椎间盘切除术后神经根疝的临床及影像学表现

Clinical and radiological findings of nerve root herniation after discectomy of lumbar disc herniation.

作者信息

Bae Jun Seok, Pee Yong Hun, Jang Jee-Soo, Lee Sang-Ho

机构信息

Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.

出版信息

J Korean Neurosurg Soc. 2012 Jul;52(1):62-6. doi: 10.3340/jkns.2012.52.1.62. Epub 2012 Jul 31.

DOI:10.3340/jkns.2012.52.1.62
PMID:22993682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3440507/
Abstract

The authors report 2 cases of nerve root herniation after discectomy of a large lumbar disc herniation caused by an unrecognized dural tear. Patients complained of the abrupt onset of radiating pain after lumbar discectomy. Magnetic resonance imaging showed cerebrospinal fluid signal in the disc space and nerve root displacement into the disc space. Symptoms improved after the herniated nerve root was repositioned. Clinical symptoms and suggestive radiologic image findings are important for early diagnosis and treatment.

摘要

作者报告了2例因未识别的硬脊膜撕裂导致大的腰椎间盘突出症行椎间盘切除术后神经根疝的病例。患者在腰椎间盘切除术后出现突发的放射性疼痛。磁共振成像显示椎间盘间隙有脑脊液信号，神经根移位至椎间盘间隙。将疝出的神经根复位后症状改善。临床症状和提示性的影像学表现对早期诊断和治疗很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/1c2111e39d9d/jkns-52-62-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/e4e23e205e6a/jkns-52-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/22f269d1b410/jkns-52-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/afb5aee918c2/jkns-52-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/c77d26094043/jkns-52-62-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/e4c1cae1bdc7/jkns-52-62-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/1c2111e39d9d/jkns-52-62-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/e4e23e205e6a/jkns-52-62-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/22f269d1b410/jkns-52-62-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/afb5aee918c2/jkns-52-62-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/c77d26094043/jkns-52-62-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/e4c1cae1bdc7/jkns-52-62-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c910/3440507/1c2111e39d9d/jkns-52-62-g006.jpg

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本文引用的文献

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Dural tears in percutaneous endoscopic lumbar discectomy.经皮内窥镜腰椎间盘切除术的硬脊膜撕裂。
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Predictive factors for dural tear and cerebrospinal fluid leakage in patients undergoing lumbar surgery.腰椎手术患者硬脊膜撕裂和脑脊液漏的预测因素
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