Intradural lumbar disc herniation at the L3–L4 level: A case report and literature review

Only 0.26% of all disc herniations are caused by intradural disc herniation (IDH), making it a rare pathology. We present the case of a 44-year-old man who suffered from right radicular low back pain and motor impairments. At the level of L3–L4, magnetic resonance imaging (MRI) revealed an intradura...

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Bibliographic Details
Published in:	Indian spine journal Vol. 7; no. 1; pp. 94 - 96
Main Authors:	Vinh-Lac Nguyen, Trong-Hieu Le, Duc-Hoang Tran, Thanh-Minh Nguyen
Format:	Journal Article
Language:	English
Published:	Wolters Kluwer Medknow Publications 01-01-2024
Subjects:	case report crumble disc sign intradural disc herniation lumbar herniated disc spinal surgery
Online Access:	Get full text
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Summary:	Only 0.26% of all disc herniations are caused by intradural disc herniation (IDH), making it a rare pathology. We present the case of a 44-year-old man who suffered from right radicular low back pain and motor impairments. At the level of L3–L4, magnetic resonance imaging (MRI) revealed an intradural, extra-axial spinal mass. This individual had several specific MRI imaging characteristics. Laminectomy, durotomy, and transforaminal lumbar interbody fusion surgery was performed, and the disc was completely removed. At the 6-month follow-up, the patient showed full recovery. The diagnosis of IDH is very challenging and every spine surgeon must be aware. The best treatment for this pathology is surgical intervention.
ISSN:	2589-5079 2589-5087
DOI:	10.4103/isj.isj_54_23