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[Intradural lumbar disk herniation (ILDH). Case report and literature review]

S Bayassi1

  • 1Oddziału Neurochirurgii Wojewódzkiego Szpitala Zespolonego w Elblagu.

Neurologia I Neurochirurgia Polska
|August 27, 1999
PubMed

Insights

This case report details a rare instance of Intraspinal لیاقت disc herniation (ILDH) in a 59-year-old man, presenting as cauda equina syndrome. Surgical outcomes were unsatisfactory, highlighting the importance of symptom duration for prognosis.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Neurology

Background:

  • Intraspinal لیاقت disc herniation (ILDH) is an exceptionally rare spinal pathology.
  • Cauda equina syndrome necessitates urgent surgical intervention.

Observation:

  • A rare case of ILDH presenting as acute cauda equina syndrome in a 59-year-old male.
  • Diagnosis confirmed by radiculogram showing L3-L4 level block.
  • Surgical findings revealed dense adhesions at L4-L5 with an extruded disc fragment compressing cauda equina roots.

Findings:

  • Surgical removal of the extruded disc fragment was challenging due to adhesions.
  • One-year postoperative follow-up showed moderate flaccid paraparesis and improved bladder function.
  • Prognosis appears correlated with the duration of preoperative symptoms.

Implications:

  • Highlights the challenges in managing rare ILDH cases with severe neurological deficits.
  • Emphasizes the critical role of preoperative symptom duration in predicting surgical outcomes for cauda equina syndrome.
  • Underscores the need for timely surgical decompression in acute spinal emergencies.

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