Posterior epidural disc herniation at L3-L4 mimicking a spinal tumor: a case report

被引:0
|
作者
Eksi, M. S. [1 ]
Yener, U. [1 ]
Akakin, A. [1 ]
Akakin, D. [2 ]
Konya, D. [1 ]
机构
[1] Marmara Univ, Fac Med, Dept Neurosurg, Istanbul, Turkey
[2] Marmara Univ, Fac Med, Dept Histol & Embryol, Istanbul, Turkey
关键词
Spine; Disc; Spinal neoplasms; MIGRATION; FRAGMENT; MRI;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Posterior epidural disc migration is a rare event. Many differential diagnoses are possible in the posterior epidural space other than disc disease. This is a case report of L3-L4 posterior epidural disc herniation that was misdiagnosed as a tumor depending on the pre-operative magnetic resonance imaging study with a peripheral ring enhancement around the mass lesion after IV gadolinium. Decompressive L4 laminectomy was performed and a free disc fragment was observed beneath the lamina. There was neither dural tear nor attachment to it. The patient was free of pain postoperatively. After 3 months, the patient applied to the outpatient clinic for a regular control. The patient was neurologically intact and free of pain. Diagnosis of posterior migrated disc fragment with subtle clinical findings, even though the free fragment has to pass through many anatomical barriers including the nevre roots, is a clinical challenge. Many differential diagnoses should be kept in mind. MRI findings (especially with contrast material use) are useful which should be imprinted with clinical knowledge.
引用
收藏
页码:71 / 76
页数:6
相关论文
共 50 条
  • [31] Intradural disc herniation of L2/3: A case report and literature review
    Pholprajuga, Phattareeya
    Wiratapesupornb, Tada
    Satayasoontornc, Kantang
    Atiprayoond, Surapon
    Kotheeranurake, Vit
    NORTH AMERICAN SPINE SOCIETY JOURNAL, 2022, 11
  • [32] CHEMONUCLEOLYSIS IN THE HERNIATED L3-L4 DISK
    HOFSTRA, L
    VANWOERDEN, HH
    DEUTMAN, R
    CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1991, (269) : 151 - 156
  • [33] L1-2 lumbar disc herniation: A case report
    Monobe, T
    Fujita, T
    Nakaue, Y
    Nishi, N
    NEUROLOGICAL SURGERY, 1996, 24 (03): : 263 - 265
  • [34] Sequestrated thoracic disc herniation mimicking a tumoral lesion in the spinal canal-a case report
    Song, Kyung-Jin
    Kim, Ki Bum
    Lee, Kwang-Bok
    CLINICAL IMAGING, 2012, 36 (04) : 416 - 419
  • [35] Streptococcus suis L3-L4 spondylodiscitis in a butcher
    Caumont, H
    Gerard, N
    Depernet, B
    Brasme, L
    Eschard, JP
    Etienne, JC
    PRESSE MEDICALE, 1996, 25 (29): : 1348 - 1348
  • [36] L3-L4 Dislocation Without Neurological Lesions
    Hidalgo-Ovejero, Angel M.
    Garcia-Mata, Serafin
    Martinez-Lecea, Francisco J.
    Goni-Zubiri, Inaki
    Alzueta-Zubiri, Luis
    BULLETIN OF THE HOSPITAL FOR JOINT DISEASES, 2010, 68 (01): : 60 - 64
  • [37] Right Foraminal Disk Protrusion at L3-L4
    Kelly, John D.
    ORTHOPEDICS, 2013, 36 (01) : 46 - 47
  • [38] Immunoglobulin G4-related disease mimicking an epidural spinal cord tumor: case report
    Williams, Michelle M.
    Mashaly, Hazem
    Puduvalli, Vinay K.
    Jin, Ming
    Mendel, Ehud
    JOURNAL OF NEUROSURGERY-SPINE, 2017, 26 (01) : 76 - 80
  • [39] Intradural disc herniation at the L2/3 level: a case report and literature review
    Wen, Huilong
    Xiao, Longyi
    Chen, Yanjun
    Deng, Rui
    Huang, Xuanwu
    Cao, Chaozhi
    Li, Xiwen
    Li, Yiqun
    ANNALS OF PALLIATIVE MEDICINE, 2022, 11 (09) : 3005 - 3013
  • [40] Intradural Ganglioneuroma Mimicking Lumbar Disc Herniation: Case Report
    Barrena Lopez, Cristina
    De la Calle Garcia, Beatriz
    Sarabia Herrero, Rosario
    WORLD NEUROSURGERY, 2018, 117 : 40 - 45