Case series of intradural disc in recurrence of lumbar disc prolapse

Author:

Alhani Bashar1,Nagappa Satish1,Baird Charles1,Botchu Rajesh2,Hughes Simon1,Mehta Jewalant1,Hassan Faizul1

Affiliation:

1. Spinal Surgery, The Royal Orthopaedic Hospital Birmingham, Birmingham B31 2AP, UK

2. MSK Radiology, The Royal Orthopaedic Hospital Birmingham, Birmingham B31 2AP, UK

Abstract

Abstract 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.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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