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Intradural lumbar disc herniations at the L1–L2 level: A case study and literature review
- Source :
- Surgical Neurology International
- Publication Year :
- 2020
- Publisher :
- Scientific Scholar, 2020.
-
Abstract
- Background: Intradural disc herniations (IDHs) are rare occurrences (0.26–0.30%), and most frequently involve the lumbar spine at the L4–L5 level. Here, we present a patient with an L1–L2 IDH and reviewed the current literature. Case Description: A 65-year-old female presented with the acute onset of bilateral paraparesis accompanied by urinary dysfunction. The lumbar MRI showed a mass at the L1–L2 level with caudal migration, accompanied by a positive “hawk-beak” sign. At surgery, consisting of a L1–L2 laminectomy, a large IDH was encountered responsible for marked cauda equina/root compression. Postoperatively, the patient immediately fully recovered. The literature we identified cited just seven similar studies of L1–L2 IDH. Conclusion: In a 65-year-old female, an IDH was anticipated at the L1–L2 level due to the combined MR findings of a large L1–L2 mass with caudal migration and the positive “hawk-beak” sign.
- Subjects :
- medicine.medical_specialty
Urinary system
medicine.medical_treatment
Hawk beak
Case Report
03 medical and health sciences
Lumbar disc
0302 clinical medicine
Lumbar
Intradural
Medicine
Posterior longitudinal ligament
Disc herniation
business.industry
Laminectomy
Cauda equina
Case description
medicine.anatomical_structure
030220 oncology & carcinogenesis
Surgery
Lumbar spine
Neurology (clinical)
Radiology
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 21527806
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Surgical Neurology International
- Accession number :
- edsair.doi.dedup.....fd92cd0b42794d3f5ec457c873c2e5a3