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Review Case Reports
Intradural lumbar disc herniation: report of five cases with literature review.
- Luis Gustavo Ducati, Mateus Violin Silva, Michele Madeira Brandão, Flavio Ramalho Romero, and Marco Antonio Zanini.
- Department of Neurology and Psychiatry, Hospital das Clinicas da Faculdade de Medicina de Botucatu, University of State of São Paulo (UNESP), District of Rubião Junior, Botucatu, SP, CEP 18618-970, Brazil. neurolgd@yahoo.com.br
- Eur Spine J. 2013 May 1;22 Suppl 3:S404-8.
IntroductionIntradural lumbar disc herniations are uncommon presentations of a relatively frequent pathology, representing less than 1% of all lumbar disc hernias. They show specific features concerning their clinical diagnosis, with a higher incidence of cauda equina syndrome, and their surgical treatment requires a transdural approach.MethodsIn this article, we describe five cases of this pathology and review the literature as well as some considerations about the difficulties in the preoperative diagnostic issues and the surgical technique.ConclusionWe concluded that for intradural disc herniations the diagnosis is mainly intraoperative, and the surgical technique has some special aspects.
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