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Related Experiment Video

Updated: Feb 18, 2026

Full Endoscopic Interlaminar Approach for Paracentral L5-S1 Disc Herniation
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Cervical intradural disc herniation: A systematic review.

Qing Guan1, Fei Xing2, Ye Long2

  • 1Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan Province, PR China; Department of Orthopedics, The First people's Hospital of Yibin, Yibin City, Sichuan Province, PR China.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|November 23, 2017
PubMed
Summary

Cervical intradural disc herniation (CIDH) is rare but challenging to diagnose. Surgical intervention is effective for CIDH, offering definitive diagnosis and improved neurological function with a low risk of cerebrospinal fluid leakage.

Keywords:
Cerebrospinal fluid leakageCervical spineDisc herniationIntradural disc

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Radiology

Background:

  • Cervical intradural disc herniation (CIDH) is a rare condition with diagnostic and therapeutic challenges.
  • This systematic review and meta-analysis addresses the complexities of CIDH.

Purpose of the Study:

  • To systematically review and analyze the literature on the diagnosis and treatment of cervical intradural disc herniation (CIDH).
  • To identify key diagnostic indicators, common presentations, and effective management strategies for CIDH.

Main Methods:

  • Systematic review and meta-analysis following PRISMA guidelines.
  • Inclusion of English-language studies and case reports from inception to 2017.
  • Extraction of data on presentation, imaging, diagnosis, management, outcomes, and pathogenesis.

Main Results:

  • 23 patients from 20 articles were analyzed; lower cervical spine (C5-C6, C6-C7) most affected.
  • Spontaneous herniation (61%) and cervical trauma (39%) were noted. Brown-Sequard's syndrome (56.5%) and quadriparesis (34.8%) were common.
  • MRI with "halo" and "Y-sign" were key indicators; 87% diagnosed intraoperatively. Surgery improved outcomes, with low CSF leakage rates after dural tear repair.

Conclusions:

  • CIDH predominantly affects the lower cervical spine, often occurring spontaneously.
  • Diagnosis is challenging; surgery is effective for treatment and definitive diagnosis.
  • Meticulous surgical repair of dural tears minimizes postoperative cerebrospinal fluid leakage.