Unusual Posterior Epidural Migration of Intervertebral Herniated Disc: A Report of Two Cases
- Author:
Tamburrelli FC
1
;
Perna A
1
;
Oliva MS
1
;
Giannelli I
1
;
Genitiempo M
1
Author Information
- Publication Type:Journal Article
- Keywords: intervertebral disc, posterior herniation, epidural space,epidural neoplasia
- From:Malaysian Orthopaedic Journal 2018;12(3):47-49
- CountryMalaysia
- Language:English
- Abstract: Disc herniation is one of most common causes of spine surgery. Because of the presence of posterior longitudinal ligaments, disc fragments often migrate into the ventral epidural space. A posterior epidural herniation of a disc fragment is a rare occurrence. We report two cases of posterior migrated disc fragments, with, radiological and clinical findings. Because of the rarity of a posterior migration of the intervertebral disc fragments, a differential diagnosis can be challenging. This painful syndrome associated with neurological lower limb deficits can be confused initially, with other posterior epidural spaceoccupying lesions such as tumours, abscess or hematomas. A gadolinium-enhanced MRI scan is the gold standard for a correct diagnosis. Early surgical decompression of the spine with a posterior approach remains the optimal technique in ensuring the best possible outcome for the patient.
- Full text:16.2018my0437.pdf
