Intradural disc mimicking: a spinal tumor lesion
Intradural disc mimicking: a spinal tumor lesion
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DOI：
10.1038/sj.sc.3101476
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发表时间：
2004-01-01
期刊：
影响因子：
2.2
通讯作者：
Yildirim, T
中科院分区：
文献类型：
--
作者：
Aydin, MV;Ozel, S;Yildirim, T
研究设计：1例硬膜内椎间盘突出症在放射学评价中表现为硬膜内髓外脊髓肿瘤病变的病例报告目的：描述具有非典型放射学表现的腰椎硬膜内椎间盘突出症，并指出腰椎对比磁共振成像（MRI）的作用。病例报告：一位58岁男性因疑似腰椎硬膜内肿块和神经系统受累接受了L5全椎板切除术。行L5全椎板切除术，检查发现硬脑膜肿胀且不活动。在硬脑膜上做一个纵向切口，取出一个硬脑膜内游离椎间盘碎片。病人的术后期间是平安无事的，他完全恢复3 months.Conclusions：腰椎间盘破裂必须考虑在鉴别诊断的肿块病变引起神经根或马尾综合征。对比增强MRI扫描有助于区分椎间盘突出与椎间隙感染或肿瘤。这个病例证明了对比MRI在诊断硬膜内椎间盘突出症中的作用和重要性。
Study design: A case report of intradural disc hernia mimicking an intradural extramedullary spinal tumor lesion in radiological evaluation.Objective: To describe a lumbar intradural disc herniation with atypical radiological appearance and point out the role of contrast magnetic resonance imaging (MRI) of the lumbar spine.Setting: Turkey. Case report: A 58-year-old man with suspected lumbar intradural mass and neurological involvement received L5 total laminectomy. L5 total laminectomy was performed, and on inspection dura was swollen and immobile. A longitudinal incision was made in the dura and an intradural-free disc fragment was removed. The patient's postoperative period was uneventful and he had full recovery in 3 months.Conclusions: Lumbar intradural disc rupture must be considered in the differential diagnosis of mass lesions causing nerve root or cauda equina syndromes. Contrast-enhanced MRI scans are useful to differentiate a herniated disc from a disc space infection or tumor. This case demonstrates the role and the importance of contrast MRI in the diagnosis of intradural disc herniation.