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Cho, Chang, Park, Han, and Shin: Posterior Epidural Migration of a Sequestrated Intervertebral lumbar Disc with Cauda Equina Syndrome -Two Cases Report-
Case Report

Journal of Korean Spine Surg 2008;15(4):277-280.

Published online: 18 January 2008

DOI: https://doi.org/10.7469/JKSS.2008.15.4.277

Posterior Epidural Migration of a Sequestrated Intervertebral lumbar Disc with Cauda Equina Syndrome -Two Cases Report-

Young-Ho Cho, M.D., Se-Ang Chang, M.D., Jae-Young Park, M.D., Jae-Hui Han, M.D., Jung-Hoon Shin, M.D.

Department of Orthopedic Surgery, Fatima Hospital, Daegu, Korea

Address reprint requests to Se-Ang Chang, M.D. Department of Orthopaedic Surgery, Daegu Fatima Hospital 576-31, Sinam-dong, Dong-gu, Daegu, Korea Tel: 82-53-940-7320, Fax: 82-53-954-7417, E-mail: fatimaos@unitel.co.kr

Copyright © 2008 Korean Society of Spine Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Posterior epidural migration of a sequestrated intervertebral lumbar disc with cauda equina syndrome is quite rare. This paper reports two unusual cases of posterior epidural migration of a sequestrated intervertebral lumbar disc with cauda equina syndrome to emphasize the importance of early diagnosis and complete decompression.

Keywords: Sequestrated disc herniation, Posterior migration, Cauda equine syndrome, Complete decompression

REFERENCES

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Fig. 1.
(A) T2 weighted sagittal image demonstrates sequestrated disc materials at L4-5 and L5-S1 level (B) and (C) T2 weighted axial images demonstrate sequestrated disc materials at L4-5 and L5-S1 level
jkss-15-277f1.tif
Fig. 2.
(A) Sequestrated disc material just beneath lamina. (B) Sequestrated disc materials measured as 2×1.5×0.3 cm and 2.5×1.5 ×0.4 cm.
jkss-15-277f2.tif
Fig. 3.
(A) Myelo CT sagittal image demonstrates complete myelographic block at L2-3 level. (B) and (C) Enhanced T2 weighted sagittal and axial images demonstrate sequestrated disc material at L2-3 level.
jkss-15-277f3.tif
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