Unusual Posterior Epidural Migration of Intervertebral Herniated Disc: A Report of Two Cases
| Autor: | I Giannelli, Andrea Perna, M S Oliva, Maurizio Genitiempo, Francesco Ciro Tamburrelli |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
epidural space posterior herniation Case Reports Posterior approach 03 medical and health sciences 0302 clinical medicine Spine surgery medicine Posterior longitudinal ligament Orthopedics and Sports Medicine 030212 general & internal medicine Mri scan Abscess Orthopedic surgery business.industry Intervertebral disc medicine.disease Epidural space medicine.anatomical_structure epidural neoplasia Emergency Medicine Surgery intervertebral disc Radiology Differential diagnosis business 030217 neurology & neurosurgery RD701-811 |
| Zdroj: | Malaysian Orthopaedic Journal, Vol 12, Iss 3, Pp 47-49 (2018) Malaysian Orthopaedic Journal |
| ISSN: | 1985-2533 |
| Popis: | Disc herniation is one of most common causes of spine surgery. Because of the presence of posterior longitudinal ligaments, disc fragments often migrate into the ventral epidural space. A posterior epidural herniation of a disc fragment is a rare occurrence. We report two cases of posterior migrated disc fragments, with, radiological and clinical findings. Because of the rarity of a posterior migration of the intervertebral disc fragments, a differential diagnosis can be challenging. This painful syndrome associated with neurological lower limb deficits can be confused initially, with other posterior epidural space-occupying lesions such as tumours, abscess or hematomas. A gadolinium-enhanced MRI scan is the gold standard for a correct diagnosis. Early surgical decompression of the spine with a posterior approach remains the optimal technique in ensuring the best possible outcome for the patient. |
| Databáze: | OpenAIRE |
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