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Intradural lumbar disc herniation detected by 3D CISS MRI
A 73-year-old man who presented with right lumbosciatic pain underwent a neurosurgical operation for a voluminous L2–L3 disc herniation, seen on conventional MRI images. No disc herniation was identified in the epidural space during the surgery. Just after the operation, the patient started to prese...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780599/ https://www.ncbi.nlm.nih.gov/pubmed/29275382 http://dx.doi.org/10.1136/bcr-2017-221728 |
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author | Crivelli, Laurence Dunet, Vincent |
author_facet | Crivelli, Laurence Dunet, Vincent |
author_sort | Crivelli, Laurence |
collection | PubMed |
description | A 73-year-old man who presented with right lumbosciatic pain underwent a neurosurgical operation for a voluminous L2–L3 disc herniation, seen on conventional MRI images. No disc herniation was identified in the epidural space during the surgery. Just after the operation, the patient started to present pain in the left L3 territory and was not able to walk any more. A second MRI including three-dimensional (3D) high-resolution constructive interference in steady state (CISS) sequence showed that the voluminous L2–L3 disc split the posterior longitudinal ligament and the anterior dura mater, extended intradurally and compressed the cauda equina to the right. The patient underwent a second surgery, which permitted to cure the symptoms. 3D high-resolution CISS should be considered to accurately depict intradural disc herniation in order to optimally guide the surgical approach. |
format | Online Article Text |
id | pubmed-5780599 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-57805992018-01-29 Intradural lumbar disc herniation detected by 3D CISS MRI Crivelli, Laurence Dunet, Vincent BMJ Case Rep Unusual Presentation of More Common Disease/Injury A 73-year-old man who presented with right lumbosciatic pain underwent a neurosurgical operation for a voluminous L2–L3 disc herniation, seen on conventional MRI images. No disc herniation was identified in the epidural space during the surgery. Just after the operation, the patient started to present pain in the left L3 territory and was not able to walk any more. A second MRI including three-dimensional (3D) high-resolution constructive interference in steady state (CISS) sequence showed that the voluminous L2–L3 disc split the posterior longitudinal ligament and the anterior dura mater, extended intradurally and compressed the cauda equina to the right. The patient underwent a second surgery, which permitted to cure the symptoms. 3D high-resolution CISS should be considered to accurately depict intradural disc herniation in order to optimally guide the surgical approach. BMJ Publishing Group 2017-12-22 /pmc/articles/PMC5780599/ /pubmed/29275382 http://dx.doi.org/10.1136/bcr-2017-221728 Text en © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Unusual Presentation of More Common Disease/Injury Crivelli, Laurence Dunet, Vincent Intradural lumbar disc herniation detected by 3D CISS MRI |
title | Intradural lumbar disc herniation detected by 3D CISS MRI |
title_full | Intradural lumbar disc herniation detected by 3D CISS MRI |
title_fullStr | Intradural lumbar disc herniation detected by 3D CISS MRI |
title_full_unstemmed | Intradural lumbar disc herniation detected by 3D CISS MRI |
title_short | Intradural lumbar disc herniation detected by 3D CISS MRI |
title_sort | intradural lumbar disc herniation detected by 3d ciss mri |
topic | Unusual Presentation of More Common Disease/Injury |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780599/ https://www.ncbi.nlm.nih.gov/pubmed/29275382 http://dx.doi.org/10.1136/bcr-2017-221728 |
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