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Related Experiment Videos

Cervical intradural disc herniation.

Y Iwamura1, K Onari, S Kondo

  • 1Department of Orthopedic Surgery, Yokohama Ekisaikai Hospital, Kanagawa, Japan. gan-chan@onyx.dti.ne.jp

Spine
|March 14, 2001
PubMed
Summary

Cervical intradural disc herniation is rare, with pathogenesis unclear. This case suggests dura mater and posterior longitudinal ligament adhesion, inflammation, and ossification contribute to disc perforation.

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Area of Science:

  • Neurosurgery
  • Spinal Pathology
  • Neurology

Background:

  • Cervical intradural disc herniation is exceptionally rare, with only 17 reported cases.
  • Limited literature exists on the pathogenesis of this condition.
  • Understanding the etiology is crucial for diagnosis and treatment.

Observation:

  • A case of C6-C7 intradural disc herniation with posterior longitudinal ligament ossification is presented.
  • The patient exhibited Brown-Sequard syndrome.
  • Surgical findings included dura mater adhesion and a perforated disc.

Findings:

  • Histological analysis revealed inflammatory cell infiltration and hypertrophy of the posterior longitudinal ligament.
  • The herniated disc was successfully resected, followed by spinal fusion.

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  • Complete neurologic recovery was achieved, with minor residual sensory disturbance.
  • Implications:

    • The pathogenesis may involve chronic mechanical irritation leading to dura mater perforation.
    • Adhesion and fragility of the dura mater and posterior longitudinal ligament are implicated.
    • This case contributes to understanding the rare pathology of cervical intradural disc herniation.