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Related Concept Videos

  1. Home
  3. Research Domains
  5. Chemical Sciences
  7. Inorganic Chemistry
  9. Inorganic Chemistry Not Elsewhere Classified
  11. Intradural Lumbar Disc Herniation With Cauda Equina Syndrome: Case Report And Recent Advances.
  1. Home
  3. Research Domains
  5. Chemical Sciences
  7. Inorganic Chemistry
  9. Inorganic Chemistry Not Elsewhere Classified
  11. Intradural Lumbar Disc Herniation With Cauda Equina Syndrome: Case Report And Recent Advances.

Related Experiment Video

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

360

Intradural lumbar disc herniation with cauda equina syndrome: Case report and recent advances.

Vijay Kumar Loya1, T V Krishna Narayan2, Charanjit Singh Dhillon3

  • 1Malla Reddy Medical College for Women, Hyderabad, India.

Brain & Spine
|March 21, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Intradural lumbar disc herniations (IDDH) are rare but can cause cauda equina syndrome. Early diagnosis with advanced MRI and intra-operative ultrasonography (IOUS) leads to successful surgical outcomes and full recovery.

Keywords:
Cauda equina syndrome(CES)Constructive Interference in Steady State(CISS) MRIDiscectomyIntra-operative ultrasonography(IOUS)

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Radiology

Background:

  • Intradural lumbar disc herniations (IDDH) are rare, accounting for <0.3% of all lumbar disc herniations.
  • IDDH can be challenging to diagnose pre-operatively, often missed on standard MRI due to size discrepancy.
  • These herniations carry a higher risk of cauda equina syndrome.

Observation:

  • A case of IDDH at L4-5 causing cauda equina syndrome is presented.
  • The patient underwent successful surgical decompression via dorsal durotomy and microsurgical techniques.
  • Complete recovery from motor weakness and incontinence was observed at 2-year follow-up.

Findings:

  • Characteristic signs and advanced MRI techniques like 3D CISS can aid pre-operative diagnosis.
  • Intra-operative ultrasonography (IOUS) is a valuable tool for localization and diagnosis during surgery.
Intradural disc herniation(IDDH)
Lumbar herniated disc
  • Microsurgical excision of intradural disc fragments is feasible without rootlet injury.

    • Implications:

    • Timely diagnosis and surgical intervention are crucial for favorable outcomes in IDDH.
    • Advanced imaging and intra-operative tools improve diagnostic accuracy and surgical success.
    • Complete neurological recovery is achievable even in cases presenting with cauda equina syndrome.