Intradural lumbar disc herniation: report of two cases

• Published in: Neurosurgical review Vol. 24; no. 1; pp. 44 - 47
• Main Authors: KEMAL, R, AKDEMIR, Koc H, SUAT ÖKTEM, I, MENKII, A
• Format: Journal Article
• Language: English
• Published: Berlin Springer 01-03-2001
• Subjects: Aged; Biological and medical sciences; Diseases of the osteoarticular system; Diseases of the spine; Dura Mater - pathology; Dura Mater - surgery; Humans; Intervertebral Disc Displacement - diagnosis; Intervertebral Disc Displacement - surgery; Lumbar Vertebrae - pathology; Lumbar Vertebrae - surgery; Magnetic Resonance Imaging; Male; Medical sciences; Middle Aged; Myelography; Spinal Cord Compression - pathology; Spinal Cord Compression - surgery; Human; Radiodiagnosis; Lumbar spine; Pathogenesis; Diseases of the osteoarticular system; Spine disease; Intradural; Nuclear magnetic resonance imaging; Myelography; Differential diagnostic; Case study; Hernia; Medical imagery; Intervertebral disk
• DOI: 10.1007/PL00011967
• EISSN: 1437-2320
• ISSN: 0344-5607

Intradural lumbar disc herniation (ILDH) is a rare pathology. The pathogenesis of ILDH is not known with certainty. Adhesions between the ventral wall of the dura and the posterior longitudinal ligament (PLL) could act as a preconditioning factor. Diagnosis of ILDH is difficult and seldom suspected preoperatively. Prompt surgery is necessary because the neurologic prognosis appears to be closely linked to preoperative duration of neurologic symptoms. Despite preoperatively significant neurological deficits, the prognosis following surgery is good. We report on two new cases of ILDH of high lumbar locations L1-2 and L2-3 with difficult differential diagnoses, and the possible pathogenic factors are discussed.