Ozpeynirci Yigit, Braun Michael, Lubotzki Inga, Schmitz Bernd, Antoniadis Gregor
Neuroradiology, Ulm University, Ulm, DEU.
Neurosurgery, Ulm University, Ulm, DEU.
Cureus. 2019 Jun 20;11(6):e4956. doi: 10.7759/cureus.4956.
Disc herniations can present with unusual findings at unusual locations, mimic different pathologies and create confusion in the daily practice. Extra-foraminal intraneural location of L5-S1 disc herniation is extremely rare and may not be noticed on initial imaging extending the time to reach the diagnosis. There is no specific imaging finding suggesting the intraneural location of the lesion. Here, we report a case of an extra-foraminal intraneural L5-S1 disc herniation mimicking a retroperitoneal peripheral nerve sheath tumour and review similar cases in the literature.
椎间盘突出症可能在不寻常的部位出现不寻常的表现,模仿不同的病理情况,并在日常实践中造成混淆。L5-S1椎间盘突出症的椎间孔外神经内位置极为罕见,在最初的影像学检查中可能未被发现,从而延长了确诊时间。没有特定的影像学表现提示病变的神经内位置。在此,我们报告一例椎间孔外神经内L5-S1椎间盘突出症,其表现酷似腹膜后周围神经鞘瘤,并回顾文献中的类似病例。