Korean J Spine.  2013 Sep;10(3):181-184. 10.14245/kjs.2013.10.3.181.

Traumatic Intradural Lumbar Disc Herniation without Bone Injury

• Lee HW
• Kwon YM

• KMID: 2140291
• DOI: http://doi.org/10.14245/kjs.2013.10.3.181

Abstract

Intradural lumbar disc herniation is a rare disease. According to the reports of intradural lumbar disc herniations, most cases have developed as a chronic degenerative disc diseases. Traumatic intradural lumbar disc herniations are even rarer. A 52-year-old man visited our emergency center with numbness in his left calf and ankle after falling accident. Initial impression by radiologic findings was a spinal subdural hematoma at the L1 level. A follow up image two weeks later, however, did not demonstrate any interval change. The patient was decided to have an operation. In operative findings, a ruptured disc particle penetrating the ventral and dorsal dura was indentified after laminectomy. It was assumed to be a traumatic outcome not a degenerative change.

Keyword

Intradural disc herniation; Subdural hematoma; Lumbar spine

MeSH Terms

Ankle
Emergencies
Follow-Up Studies
Hematoma, Subdural
Hematoma, Subdural, Spinal
Humans
Hypesthesia
Laminectomy
Middle Aged
Rare Diseases