L2-L3 Intradural Disc Herniation Presenting With Cauda Equina: Case Report

*Pinar Aydin Ozturk
Department Of Neurosurgery, Turkey

*Corresponding Author:
Pinar Aydin Ozturk
Department Of Neurosurgery, Turkey
Email:aydinpinar12@gmail.com

Published on: 2020-01-16

Abstract

Intradural disc herniation [IDH] was first described by Dandy-Walker in 1940. The ratio of intradural disc herniations to all disc herniations is 0.2% -0.3%. It is most commonly seen in L4-L5 [90%] level. The ratio of intradural disk hernias in L2-L3 to all intradural disc herniations is 1-2%. The Male / Female ratio is 4/1. It is most commonly seen between 50-60 years of age. The incidence of cauda equina syndrome in IDH is higher than in extradural disc hernias. Although MR is the gold standard, there is no definite method for preoperative diagnosis. In myelographic MRI, the total block may be seen. It should be kept in mind in the lumbar disc herniation presented with cauda equina syndrome.

Keywords

Intradural Disc Herniation, Cauda Equina Syndrome, Spinal Anesthesia

Intradural Disc Herniation [IDH] Was First Described By Dandy-Walker In 1940 [1]. The Ratio Of Intradural Disc Herniations To All Disc Herniations Is 0.2% -0.3%.It Is Most Commonly Seen In L4-L5 [90%] Level. The Ratio Of Intradural Disk Hernias In L2-L3 To All Intradural Disc Herniations Is 1-2%.The Pathogenesis Of Lumbar Intradural Disc Hernias Is Still Not Fully Understood, But Is Often Associated With Intense Adhesions Between The Anterior Part Of The Dura Mater And The Posterior Longitudinal Ligament [PLL].Recurrent Minor Traumas Or Surgical Interventions May Lead To Adhesions [2].The Incidence Of Cauda Equina Syndrome In IDH Is Higher Than Extradural Disc Hernias. Although Clinical Presentation Varies, Admission With Cauda Equina Syndrome Is Common. Although There Is No Clear Answer To Preoperative Diagnosis, MR Is The Gold Standard [4].In This Case Report; A Case Of L2-L3 Intradural Disc Herniation Presenting With Cauda Equina Syndrome Will Be Presented.

Intradural disc herniation [IDH] was first described by Dandy-Walker in 1940. The ratio of intradural disc herniations to all disc herniations is 0.2% -0.3%. It is most commonly seen in L4-L5 [90%] level. The ratio of intradural disk hernias in L2-L3 to all intradural disc herniations is 1-2%. The Male / Female ratio is 4/1. It is most commonly seen between 50-60 years of age. The incidence of cauda equina syndrome in IDH is higher than extradural disc hernias. Although MR is the gold standard, there is no definite method for preoperative diagnosis. In myelographic MRI, the total block may be seen. It should be kept in mind in the lumbar disc herniation presented with cauda equina syndrome.