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[Lumbar intradural disk herniation. X-ray computed tomographic diagnosis].

N Martin1, J C Guilbeau, M Murat

  • 1Service de Radiologie, Hôpital Beaujon, Clichy.

Journal De Radiologie
|November 1, 1988
PubMed
Summary

Intradural disk herniation, a rare lumbar spine condition, presents with back pain and neurological deficits. Myelography and CT revealed a multilobular intradural mass at L4-5, aiding diagnosis.

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Area of Science:

  • Neurosurgery
  • Radiology
  • Spinal Imaging

Background:

  • Intradural disk herniation is an uncommon spinal pathology.
  • Typically affects the lumbar spine, often preceded by chronic low back pain and acute radicular symptoms with neurological compromise.

Observation:

  • The study details a case of L4-5 intradural disk herniation.
  • Diagnostic imaging included myelography and lopamidol-enhanced computed tomography (CT).

Findings:

  • Myelography and lopamidol-CT identified an intradural, multilobular mass at the L4-5 level.
  • The mass exhibited characteristics consistent with disk material and had an associated extradural component.
  • Anatomic adhesions between the dura mater and posterior longitudinal ligament are proposed as a mechanism, though surgical or traumatic history is often present.

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Implications:

  • Accurate diagnosis of intradural disk herniation relies on advanced imaging techniques.
  • Understanding the imaging findings is crucial for surgical planning and patient management.
  • While rare, this condition requires careful consideration in the differential diagnosis of lumbar radiculopathy.