Huge Intradural Lumbar Disc Herniation Mimicking an Intradural Spinal Tumor - A Case Report -

Chung-Shik Shin; Byeong-Yeol Choi; Kyung-Tae Kim

doi:10.4184/jkss.2016.23.2.127

Journal List > J Korean Soc Spine Surg > v.23(2) > 1076093

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Shin, Choi, and Kim: Huge Intradural Lumbar Disc Herniation Mimicking an Intradural Spinal Tumor - A Case Report -

Case Report

Journal of Korean Spine Surg 2016;23(2):127-130.

Published online: 30 June 2016

DOI: https://doi.org/10.4184/jkss.2016.23.2.127

Huge Intradural Lumbar Disc Herniation Mimicking an Intradural Spinal Tumor - A Case Report -

Chung-Shik Shin, M.D., Byeong-Yeol Choi, M.D., Kyung-Tae Kim, M.D.

Departments of Orthopedic Surgery, Presbyterian Medical Center, Jeonju, Korea

Corresponding author: Byeong-Yeol Choi, M.D. Department of Orthopedic Surgery, Presbyterian Medical Center 365, Seowon-ro, Wansan-gu, Jeonju 561-750, Korea TEL: +82-63-230-8744, FAX: +82-63-230-1439 E-mail: docby@hanmail.net

Received 4 February 201615 February 2016 Accepted 8 April 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study Design

A case report.

Objectives

To report a case of cauda equine syndrome due to a lumbar intradural disc herniation.

Summary of Literature Review

IDH is rare but there is a higher incidence of neurologic deficit in IDH. Therefore, it should be treated immediately.

Materials and Methods

A 34-year-old male patient was presented with cauda equina syndrome due to a lumbar intradural mass and underwent surgical excision.

Results

Operative findings and the histologic study revealed an intradural disc herniation.

Conclusions

IDH is very rare lesion but should be considered in a differential diagnosis if preoperative MRI demonstrates an intradural lesion.

Keywords: Lumbar spine, Cauda equina syndrome, Intradural disc herniation

REFERENCES

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Fig. 1.

(A) The arrow indicates a huge isointense mass-like lesion located in the intradural space from the L4 to L5 level on a T1-weighted sagittal magnetic resonance (MR) image. (B) The arrow indicates a heteroge-neous isointense lesion in a T2-weighted sagittal MR image.

Fig. 2.

The arrow indicates ring enhancement of the mass on a gadolini-um-enhanced T1-weighted axial magnetic resonance (MR) image.

Fig. 3.

An intraoperative image demonstrates a huge intradural disc fragment after durotomy.

Fig. 4.

A clinical photo shows the piece of disc material that was re-moved.

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