Celano Emma C, Sayah Anousheh, McGrail Kevin
Medstar Georgetown Department of Neurosurgery, 3800 Reservoir Road NW, PHC 7th floor, Washington, DC 20007, USA.
Medstar Georgetown Department of Radiology, Washington, DC 20007, USA.
Radiol Case Rep. 2019 Jul 4;14(9):1076-1078. doi: 10.1016/j.radcr.2019.06.004. eCollection 2019 Sep.
Intradural disc herniation in the cervical spine is a rare condition that requires identification and modification of surgical technique to avoid postoperative complications. A 55-year-old male with a C4-5 intradural disc herniation who presented with radicular symptoms was treated via anterior cervical discectomy and fusion. The dural defect was identified at the time of surgery. On retrospective review of the patient's preoperative MRI, there were subtle findings of the intradural disc location, including a surrounding ring of hyperintensity on T2 and less deformation of the spinal cord than would be expected given its size.
颈椎硬膜内椎间盘突出症是一种罕见疾病，需要识别并改进手术技术以避免术后并发症。一名55岁男性，患有C4-5硬膜内椎间盘突出症并伴有神经根症状，接受了颈椎前路椎间盘切除融合术治疗。手术中发现了硬脊膜缺损。回顾患者术前MRI，发现硬膜内椎间盘位置有细微表现，包括T2加权像上有高信号环绕，且脊髓变形程度小于根据其大小预期的程度。
