Intradural Lumbar Disc Herniation: Updated Report of a Case with Literature Review

Hoang-Long Nguyen,Bao-Tien L Nguyen,Manh-Hung Do,Hoang-Long Vo

doi:10.3390/reports5010009

Abstract

Intradural lumbar disc herniation is a rare complication of disc disease. The mechanism by which a herniated disc tears the dura matter remains unknown. The preoperative diagnosis of an intradural lumbar disc herniation is still difficult. We report our experience dealing with a case of intradural lumbar disc herniation at level L3/4 in a 34-year-old man. Based on current experience, we found that attachment of the ventral dura to the posterior longitudinal ligament can be a favorable factor indicating intradural lumbar disc herniation. One should pay attention to those with cauda equina syndrome, as it can thereby promptly suggest a preoperative diagnosis of intradural lumbar disc herniation. Surgeons need to avoid omitting intraoperative lesions by palpating the dura mater during surgery for suspected tumor cases.

Highlights

Intradural lumbar disc herniation is a serious complication of herniated discs and is very rare in the clinical treatment of lumbar disc herniation
We report our experience dealing with a case of intradural lumbar disc herniation at level L3/4
Blikra G. found a relationship between the anterior dura mater and the posterior longitudinal ligament in the formation of dense adhesions in the lumbar spine [15]

Summary

Introduction

Intradural lumbar disc herniation is a serious complication of herniated discs and is very rare in the clinical treatment of lumbar disc herniation. The proportion of intradural lumbar disc herniation was estimated to be 0.3% of all disc herniations, occurring most commonly among middle-aged adults [1]. Diagnosing this condition preoperatively is still challenging, and diagnosis may be missed [2–5]. We report our experience dealing with a case of intradural lumbar disc herniation at level L3/4. We sought to review the literature and discuss the pathogenesis, methods for definitive diagnosis and treatment for this particular hernia

Case Presentation Section

Findings

Discussion

Conclusions