Intradural herniation of lumbar intervertebral discs

Charles J. Hodge, Eugene F. Binet, Stephen A. Kieffer

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

Abstract

A case of intradural rupture of a lumbar intervertebral disc is reported, and the literature is reviewed. The majority of intradural disc herniations occur at the L4-5 level. These patients usually have neurologic deficits more severe than those found in the much more common extradural disc herniations. The myelographie picture varies from an irregularly marginated intradural lesion overlying the disc space to a complete block. The common factor allowing intradural disc herniation is probably dense adhesions between the dura and the posterior longitudinal ligament, preventing the more common lateral extradural disc herniation. Intradural disc herniation should be included in the differential diagnosis of lumbar intradural lesions causing nerve root or cauda equina compression.

Original languageEnglish (US)
Pages (from-to)346-350
Number of pages5
JournalSpine
Volume3
Issue number4
DOIs
StatePublished - Dec 1978

Keywords

  • Cauda equina compression
  • Intervertebral disc
  • Intradural herniation
  • Nerve root compression

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