Alhani Bashar, Nagappa Satish, Baird Charles, Botchu Rajesh, Hughes Simon, Mehta Jewalant, Hassan Faizul
Spinal Surgery, The Royal Orthopaedic Hospital Birmingham, Birmingham B31 2AP, UK.
MSK Radiology, The Royal Orthopaedic Hospital Birmingham, Birmingham B31 2AP, UK.
J Surg Case Rep. 2021 Feb 27;2021(2):rjaa611. doi: 10.1093/jscr/rjaa611. eCollection 2021 Feb.
Intradural disc herniation is a rare entity reported at 0.04-1.1% that occurs most commonly in the lumbar spine particularly at L4-L5 region. There is a paucity of literature due to the rarity of this condition. Intradural disc herniations must be considered in the differential diagnosis of prolapsed intervertebral disc disease especially with recent worsening of symptoms and mismatch of unenhanced magnetic resonance induction (MRI) findings. The confirmation is made with intraoperative findings. An intradural disc herniation is most often diagnosed intraoperatively. Contrast enhanced MRI scan is mandatory for pre-operative diagnosis. We report on two cases presenting to our unit in the form of recurrent intradural disc disease following previous lumbar surgery occurring within 3 months of the index procedure in both cases.
硬脊膜内椎间盘突出是一种罕见病症,报告发生率为0.04%-1.1%,最常发生于腰椎,尤其是L4-L5节段。由于这种病症罕见,相关文献较少。在椎间盘疾病脱垂的鉴别诊断中必须考虑硬脊膜内椎间盘突出,尤其是近期症状恶化且非增强磁共振成像(MRI)结果不相符时。确诊需依据术中所见。硬脊膜内椎间盘突出大多在术中确诊。术前诊断必须进行对比增强MRI扫描。我们报告两例病例,均在初次手术3个月内以复发性硬脊膜内椎间盘疾病的形式就诊于我院,且此前均接受过腰椎手术。