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Journals / Journal of Turkish Spinal Surgery / 2013 / Cilt: 24 - Sayı: 2

Posterior sekestre disk herniasyonu’nun neden olduğu kauda ekina sendromu: nadir bir olgu ve mrg bulguları

Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings

MEHMET ERHAN TÜRKOĞLU
Ergün KARAVELİOĞLU
Nezih ORAL
Ahmet Metin ŞANLI
ZEKİ ŞEKERCİ
Pages
165–168
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Especially in symptomatic cases, the neurosurgeons should keep this unique entity in their mind.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Posterior epidural disc migration is a very unusual event.
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Key Findings & Data:Diagnosis of a posterior migrated disc fragment can be made easily by magnetic resonance imaging.
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Conclusion & Impact:Especially in symptomatic cases, the neurosurgeons should keep this unique entity in their mind.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Posterior epidural disc migration is a very unusual event. Cauda equina syndrome resulting from a posterior epidural disc migration is also quite uncommon. Diagnosis of a posterior migrated disc fragment can be made easily by magnetic resonance imaging. The patient is described in this report presented with an acute cauda equina syndrome after a massage with hot water. An immediate magnetic resonance imaging revealed L2-L3 disc herniation without argument for posterior epidural disc migration. Decompressive total L2 laminectomy was performed immediately, and two unattached disc fragments were observed and removed just underneath the lamina. The patient was released of pain postoperatively. After 12 months, the patients had slight paraparesis and urinary incontinence. Diagnosis of the posterior migrated disc fragment with magnetic resonance images is very favorable. Migrated disc fragments were not seen on magnetic resonance imaging. Especially in symptomatic cases, the neurosurgeons should keep this unique entity in their mind.

Özet

Posterior epidural disk migrasyonu oldukça nadir bir olaydır. Posterior epidural disk migrasyonunun kauda ekina sendromu ile sonuçlanması çok daha nadirdir. Manyetik rezonans görüntüleme ile posteriora migre disk herniyasyonlarının tanısı oldukça kolaydır. Sıcak su ile masajı takiben gelişen akut kauda ekina sendromu gelişen bir hastayı bu çalışmada sunulmuştur. Acil manyetik rezonans görüntüleme, L2-L3 düzeyinde, disk fragmanın posterior migrasyonu olmaksızın disk herniyasyonunu gösterdi. Acil olarak L2 dekompresyon amaçlı, L2 total laminektomi yapıldı. Hemen laminanın altında, çevre dokulara yapışık olmayan, iki adet serbest fragman çıkartıldı. Postoperatif dönemde hastanın ağrı yakınması geçti. 12 ay sonraki muayenesinde hafif düzeyde paraparezisi olduğu ve üriner inkontinansının devam ettiği görüldü. Posteriora migre disk fragmanlarının tanısında manyetik rezonans görüntüleme oldukça yararlıdır. Nadirde olsa serbest fragmanlarının manyetik rezonans görüntüleme ile tespit edilemediği vakalar mevcuttur. Özellikle semptomatik olgularda, bu durumun cerrahlar tarafından bilinmesi gerekir.

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Cite This Article

TÜRKOĞLU, M. E., KARAVELİOĞLU, E., ORAL, N., ŞANLI, A. M., ŞEKERCİ, Z. (2013). Posterior sekestre disk herniasyonu’nun neden olduğu kauda ekina sendromu: nadir bir olgu ve mrg bulguları. Journal of Turkish Spinal Surgery, Cilt: 24 - Sayı: 2, 165–168. https://ajindex.com/articles/215052

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