Bhattarai Utsav, Gurung Pritam, Shrestha Janam, Dhakal Sudan, Acharya Samir, Pant Basant
Department of Neurosurgery Annapurna Neurological Institute and Allied Sciences Kathmandu Nepal.
Clin Case Rep. 2023 Jun 13;11(6):e7514. doi: 10.1002/ccr3.7514. eCollection 2023 Jun.
MRI remains the best tool in the diagnosis of this disease entity however preoperative diagnosis remains a difficult task. A high degree of suspicion is raised when intraoperative findings and preoperative image description become incompatible.
Lumbar disc herniation into the dural space is a rare phenomenon of lumbar disc degeneration with an unclear remaining pathogenesis. Intraoperative ultrasonography and histopathological examination of resected specimen help in the diagnosis of intradural disc herniation. Prompt surgery is recommended due to the high incidence of cauda equina syndrome.
磁共振成像（MRI）仍然是诊断这种疾病实体的最佳工具，然而术前诊断仍然是一项艰巨的任务。当术中发现与术前影像描述不一致时，应提高高度怀疑。
腰椎间盘疝入硬膜间隙是一种罕见的腰椎间盘退变现象，其剩余发病机制尚不清楚。术中超声检查和切除标本的组织病理学检查有助于诊断硬膜内椎间盘疝。由于马尾综合征的高发病率，建议尽早手术。
