Abstract：Intradural lumbar disc herniation (ILDH) is a rare disease with a high rate of misdiagnosis and missed diagnosis. As the herniated disc enters the dural, once misdiagnosed or missed diagnosis, the treatment effect may not be ideal, or even worse, causing huge psychological and economic burden to patients. In order to improve the clinical diagnosis and treatment level of this disease, the correct diagnosis and treatment plan was formulated. This paper analyzed and discussed a patient with ILDH admitted to the Department of Orthopedics of Hebei General People’s Hospital. The patient presented symptoms of nerve root involvement and cauda equina syndrome. Through preoperative physical examination and imaging data reading, the patient was considered as ILDH, posterior lumbar open surgery was performed to remove the nucleus pulposus tissue herniated into the dura, postoperative pathological examination confirmed ILDH, positive symptomatic treatment, good postoperative recovery. Based on the review and analysis of the domestic and foreign literature, most people believe that the diagnosis of ILDH should be actively treated by surgery; at the same time, literature review was carried out on the symptoms, clinical manifestations, imaging features and surgical methods of the disease to improve the understanding of the disease, so as to reduce misdiagnosis or missed diagnosis.
翟金帅 黄腾 高博 张隆 魏景超 李文毅 李西成. 硬膜内腰椎间盘突出症1例的诊治及相关文献回顾分析[J]. 中国医药导报, 2022, 19(24): 186-189.
ZHAI Jinshuai HUANG Teng GAO Bo ZHANG Long WEI Jingchao LI Wenyi LI Xicheng. A case report and review of relevant literature diagnosis and treatment of intradural lumbar disc herniation. 中国医药导报, 2022, 19(24): 186-189.
[1] ?魻ztürk A，Avcl E，Yazgan P，et al. Intradural herniation of intervertebral disc at the level of lumbar 1-lumbar 2 [J]. Turk Neurosurg，2007，17：134-137.
[2] Yu Y，Yang Z，Xiang Y，et al. Unexpected intradural disc herniation instead of space-occupying tumor at L3-L4 level：a case report and literature review [J]. Am J Transl Res，2021，13（9）：10891-10895.
[3] Dandy WE. Serious complications of ruptured intervertebral disks [J]. J Am Med Associ，1942，119（119）：474-477.
[4] Dietz N，Sharma M，Adams S，et al. Alhourani A, Ugiliweneza B, Wang D, Nu?觡o M, Drazin D, Boakye M. Enhanced Recovery After Surgery (ERAS） for Spine Surgery：A Systematic Review [J]. World Neurosurg，2019，130：415-426.
[5] Aprígio RM，Caramanti RL，Santos FOR，et al. Intradural disc herniation at the L1-L2 level：A case report and literature review [J]. Surg Neurol Int，2019，10：196.
[6] Mut M，Berker M，Palao■lu S. Intraradicular disc herniations in the lumbar spine and a new classification of intradural disc herniations [J]. Spinal Cord，2001，39（10）：545-548.
[7] Sharma A，Singh V，Sangondimath G，et al. Intradural Disc a Diagnostic Dilemma：Case Series and Review of Literature [J]. Asian J Neurosurg，2018，13（4）：1033-1036.
[8] 代宇轩，赵光辉，范学峰，等.硬膜内型腰椎间盘突出症1例并文献回顾[J].中国实验诊断学，2020，24（4）：677-679.
[9] Pedaballe AR，Mallepally AR，Tandon V，et al. An Unusual Case of Transdural Herniation of a Lumbar Intervertebral Disc：Diagnostic and Surgical Challenges [J]. World Neurosurg，2019，128：385-389.
[10] Rapoport BI，Hartl R，Schwartz TH. Cranial neuropathy due to intradural disc herniation [J]. Neurosurgery，2014， 74（5）：E561-E565.
[11] 卢钰，张颖，解京明，等.硬膜内椎间盘突出症2例报告与文献综述[J].中国矫形外科杂志，2019，27（5）：443-447.
[12] Kobayashi K，Imagama S，Matsubara Y，et al. Intradural disc herniation：radiographic findings and surgical results with a literature review [J]. Clin Neurol Neurosurg，2014，125：47-51.
[13] Choi JY，Lee WS，Sung KH. Intradural lumbar disc herniation—Is it predictable preoperatively? A report of two cases [J]. Spine J，2007，7（1）：111-117.
[14] Rathod T，Panchal S，Marathe N，et al. Intradural Disc Herniation in the Lumbar Spine：A Case Report [J]. JNMA J Nepal Med Assoc，2020，58（225）：345-348.
[15] 姜利明，皮杨威，王军，等.硬膜内型腰椎间盘突出症1例报道[J].中国实验诊断学，2022，26（1）：156-159.
[16] Kobayashi K，Imagama S，Matsubara Y，et al. Intradural disc herniation：radiographic findings and surgical results with a literature review [J]. Clin Neurol Neurosurg，2014， 125：47-51.
[17] Elsharkawy AE，Hagemann A，Klassen PD. Posterior epidural migration of herniated lumbar disc fragment：a literature review [J]. Neurosurg Rev，2019，42（4）：811-823.
[18] Huliyappa HA，Singh RK，Singh SK，et al. Transdural herniated lumbar disc disease with muscle patch for closure of durotomy-A Brief review of literature [J]. Neurol Neurochir Pol，2017，51（2）：149-155.
[19] Arnold PM，Wakwaya YT. Intradural disk herniation at L1-L2：report of two cases [J]. J Spinal Cord Med，2011， 34（3）：312-314.
[20] 189 Thohar Arifin M，Ikbar KN，Brilliantika SP，et al. Challenges in intradural disc herniation diagnosis and surgery：A case report [J]. Ann Med Surg （Lond），2020， 58：156-159.
[21] Alhani B，Nagappa S，Baird C，et al. Case series of intradural disc in recurrence of lumbar disc prolapse [J]. J Surg Case Rep，2021，2021（2）：rjaa611.
[22] Moon SJ，Han MS，Lee GJ，et al. Unexpected Intradural Lumbar Disk Herniation Found During Transforaminal Endoscopic Surgery [J]. World Neurosurg，2020，134：540-543.
[23] Chen J，Ni HJ，Xue F，et al. Upper Lumbar Intradural Disc Herniation：A Rare Case Report and Etiologic Analysis [J]. J Pain Res，2021，14：1475-1481.
[24] Serikyaku H，Higa S，Yara T. Intradural disc herniation at the L1-2 level [J]. Surg Neurol Int，2021，12：351.
[25] 徐振涛，冉然，苏道庆.硬膜下型腰椎间盘突出症的显微手术治疗[J].中华神经创伤外科电子杂志，2021，7（2）：127-128.
京公网安备 11010502046598号