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腰椎L4-L5水平硬膜内椎间盘突出症:一例报告

Herniating Intradural Disc at Lumbar L4-L5 Level: A Case Report.

作者信息

Javeed Farrukh, Khan Javeria, Rehman Lal

机构信息

Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, PAK.

出版信息

Cureus. 2023 Feb 16;15(2):e35067. doi: 10.7759/cureus.35067. eCollection 2023 Feb.

Abstract

Prolapse of intervertebral disc is a common pathology seen in the neurosurgery field but intradural lumbar disc herniation is a rare entity encountered only during the surgical treatment of prolapse. We present a 30-year-old male who reported lower back pain radiating to the right lower limb for the last 2.5 years. The pain started after a brief history of weight lifting. There were no associated motor or sensory deficits. The magnetic resonance imaging of the lumbosacral spine showed prolapse of intervertebral disc at the level of lumbar L4-L5. The patient underwent laminectomy and intradural discectomy of L4-L5. Patient had a smooth post-operative recovery with no neurological deficits. A thorough radiological examination can aid in the pre-operative diagnosis of an intradural lumbar disc herniation.

摘要

椎间盘突出是神经外科领域常见的病症,但硬膜内腰椎间盘突出症是一种罕见的情况,仅在椎间盘突出的手术治疗过程中遇到。我们报告一名30岁男性,他在过去2.5年中一直诉说下背部疼痛并向右下肢放射。疼痛在短暂的举重史后开始。没有相关的运动或感觉障碍。腰骶部脊柱的磁共振成像显示L4-L5水平的椎间盘突出。患者接受了L4-L5椎板切除术和硬膜内椎间盘切除术。患者术后恢复顺利,无神经功能缺损。全面的影像学检查有助于硬膜内腰椎间盘突出症的术前诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a5/10024570/8a191538df18/cureus-0015-00000035067-i01.jpg

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