Conus medullaris syndrome due to an intradural disc herniation: A case report

A 70-year-old male patient developed acute paraplegia due to conus medullaris compression secondary to extrusion of D12-L1 disc. After negative epidural examination intraoperatively, a durotomy was performed and an intradural disc fragment was excised. Patient did not regain ambulatory status at two...

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Autores principales: Chaudhary, Kshitij S, Bapat, Mihir R
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2759585/
https://www.ncbi.nlm.nih.gov/pubmed/19823664
http://dx.doi.org/10.4103/0019-5413.38590
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author Chaudhary, Kshitij S
Bapat, Mihir R
author_facet Chaudhary, Kshitij S
Bapat, Mihir R
author_sort Chaudhary, Kshitij S
collection PubMed
description A 70-year-old male patient developed acute paraplegia due to conus medullaris compression secondary to extrusion of D12-L1 disc. After negative epidural examination intraoperatively, a durotomy was performed and an intradural disc fragment was excised. Patient did not regain ambulatory status at two-year follow-up. Intraoperative finding of negative extradural compression, tense swollen dura and CSF leak from ventral dura should alert the surgeon for the possibility of intradural disc herniation. A routine preoperative MRI is misleading and a high index of suspicion helps to avoid a missed diagnosis.
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spelling pubmed-27595852009-10-09 Conus medullaris syndrome due to an intradural disc herniation: A case report Chaudhary, Kshitij S Bapat, Mihir R Indian J Orthop Case Report A 70-year-old male patient developed acute paraplegia due to conus medullaris compression secondary to extrusion of D12-L1 disc. After negative epidural examination intraoperatively, a durotomy was performed and an intradural disc fragment was excised. Patient did not regain ambulatory status at two-year follow-up. Intraoperative finding of negative extradural compression, tense swollen dura and CSF leak from ventral dura should alert the surgeon for the possibility of intradural disc herniation. A routine preoperative MRI is misleading and a high index of suspicion helps to avoid a missed diagnosis. Medknow Publications 2008 /pmc/articles/PMC2759585/ /pubmed/19823664 http://dx.doi.org/10.4103/0019-5413.38590 Text en © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chaudhary, Kshitij S
Bapat, Mihir R
Conus medullaris syndrome due to an intradural disc herniation: A case report
title Conus medullaris syndrome due to an intradural disc herniation: A case report
title_full Conus medullaris syndrome due to an intradural disc herniation: A case report
title_fullStr Conus medullaris syndrome due to an intradural disc herniation: A case report
title_full_unstemmed Conus medullaris syndrome due to an intradural disc herniation: A case report
title_short Conus medullaris syndrome due to an intradural disc herniation: A case report
title_sort conus medullaris syndrome due to an intradural disc herniation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2759585/
https://www.ncbi.nlm.nih.gov/pubmed/19823664
http://dx.doi.org/10.4103/0019-5413.38590
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