硬膜内腰椎间盘突出症：5 例报告并文献复习。
Intradural lumbar disc herniation: report of five cases with literature review.
机构信息
Department of Neurology and Psychiatry, Hospital das Clinicas da Faculdade de Medicina de Botucatu, University of State of São Paulo (UNESP), District of Rubião Junior, Botucatu, SP, CEP 18618-970, Brazil.
出版信息
Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S404-8. doi: 10.1007/s00586-012-2516-4. Epub 2012 Sep 27.
Abstract
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.
摘要
简介
硬脊膜内腰椎间盘突出症是一种相对常见的病理学表现，不到所有腰椎间盘突出症的 1%。它们在临床诊断方面表现出特定的特征，马尾综合征的发生率更高，其手术治疗需要经硬脊膜入路。
方法
在本文中，我们描述了 5 例这种病理学病例，并回顾了文献以及术前诊断问题和手术技术方面的一些考虑因素。
结论
我们得出结论，对于硬脊膜内椎间盘突出症，诊断主要是在手术过程中，手术技术有一些特殊方面。
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