Posterior epidural mass: can a posteriorly migrated lumbar disc fragment mimic tumour, haematoma or abscess?
Posterior epidural mass: can a posteriorly migrated lumbar disc fragment mimic tumour, haematoma or abscess?
复制标题
后硬膜外肿块：向后迁移的腰椎间盘碎片是否可以模拟肿瘤、血肿或脓肿？
DOI：
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发表时间：
2009
影响因子：
0.4
通讯作者：
A. Pourbagher
中科院分区：
文献类型：
--
作者：
A. Derinçek;Metin Ozalay;Orhan Şen;A. Pourbagher
A 60-year-old woman complained of low back pain radiating to both buttocks and to the anterior aspect of the left thigh. MRI showed a left posterolateral epidural mass at the L1-L2 level. An epidural abscess was suspected, but the biochemistry was normal. Excision yielded complete relief of symptoms. Pathological examination demonstrated that the specimen was a migrated disc fragment. The authors found 29 other cases of disc migration to the posterior epidural space; two of these were at the thoracic level. Eleven of the 27 lumbar cases (40%) were complicated with Cauda Equina Syndrome (CES). MRI is the method of choice to make the diagnosis. The differential diagnosis includes tumour, haematoma and abscess.
