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| A case report and review of relevant literature diagnosis and treatment of intradural lumbar disc herniation |
| ZHAI Jinshuai HUANG Teng GAO Bo ZHANG Long WEI Jingchao LI Wenyi LI Xicheng |
| Department of Orthopedics, Hebei General Hospital, Hebei Province, Shijiazhuang 051000, China |
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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.
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