Posterior and anterior epidural and intradural migration of the sequestered intervertebral disc: Three cases and review of the literature

The Journal of Spinal Cord Medicine
Daphne J TheodorouIoannis D Gelalis

Abstract

Context: Dorsal migration of the sequestered lumbar intervertebral disc is an unusual and underrecognized pattern of lumbar disc herniation associated with pain and neurological deficit.Findings: Three patients presented with lower limb- and low back pain. MR imaging showed intracanalicular mass lesions with compression of the spinal cord and allowed precise localization of lesions in the extradural or intradural space. Diagnosis was straightforward for the patients with the posterior and anterior epidural disc fragments, whereas various differential diagnostic considerations were entertained for the patient with the intradural mass lesion. All patients underwent surgical removal of the sequestered disc fragments, and recovered full motosensory function. Surgical repair of the dura mater due to CSF leak was required for the patient with intradural disc herniation.Conclusion/clinical relevance: Posterior and anterior epidural, and intradural disc migration may manifest with clinical symptoms indistinguishable from those associated with non-sequestered lumbar disc hernias. Missed, migrated disc fragments can be implicated as a cause of low back pain, radiculopathy or cauda equina syndrome, especially in the absence of visible dis...Continue Reading

References

Jun 1, 1990·Radiology·D SchellingerD C Abdullah
Mar 1, 1987·Journal of Computer Assisted Tomography·S HoltåsH Pettersson
Feb 25, 1998·Spine·A M Hidalgo-OvejeroM Martinez-Grande
Aug 18, 1999·Journal of Spinal Disorders·Y SaruhashiS Hukuda
Feb 5, 2003·Spine·Kayhan KuzeyliBekircan Peksoylu
Oct 14, 2004·Spine·Angel M Hidalgo-OvejeroManuel Martínez-Grande
Aug 29, 2006·The Spine Journal : Official Journal of the North American Spine Society·Palaniappan LakshmananPaul Rhys Davies
Jan 2, 2007·The Spine Journal : Official Journal of the North American Spine Society·Jae Young ChoiKyeong Hoon Sung
Dec 20, 2007·Spine·Katsuhiro TofukuSetsuro Komiya
Jan 22, 2011·Journal of Neurosurgery. Spine·Ahmet SengozErol Tasdemiroglu
Apr 12, 2011·Journal of Neurosurgery. Spine·Ali AkhaddarMohammed Boucetta
Jul 16, 2011·The Journal of Spinal Cord Medicine·Paul M Arnold, Yosafe T Wakwaya
Nov 24, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Frank Floeth, Jörg Herdmann
Sep 28, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Luis Gustavo DucatiMarco Antonio Zanini
Mar 23, 2018·Journal of Back and Musculoskeletal Rehabilitation·Taejune ParkKiyeun Nam
Jan 8, 2019·Neurosurgical Review·Alaa Eldin ElsharkawyPeter Douglas Klassen

❮ Previous
Next ❯

Citations

Jun 4, 2021·Journal of Pain Research·Jia ChenShi-Sheng He

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.

Related Papers

Journal of Spinal Disorders
L E JenkinsP L Gildenberg
European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
Chang-Chih LiuKan-Nan Liu
The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
Alim P MithaYves Starreveld
© 2021 Meta ULC. All rights reserved