后遗症腰椎间盘突出导致马尾背侧压迫:1例报告及文献复习

Q Medicine
H. Chon, Han Yu Seong, J. H. Park
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引用次数: 0

摘要

43岁男性,左腿进行性无力,排尿困难1周。t2加权矢状位磁共振成像(MRI)显示L4至L5水平椎间盘明显挤压。t1加权矢状位MRI加钆增强显示边缘增强不规则椭圆形肿块。我们在部分半椎板切除术和韧带黄体切除术后立即手术切除了一个大的椎间盘颗粒。磁盘颗粒被零零碎碎地去除。最常见的病理表现是马尾综合征。MRI通常显示边缘增强的肿块样病变,部分半椎板切除术似乎足以治疗这种病理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dorsal Cauda Equina Compression by the Sequestral Lumbar Disk Herniation: A Case Report and the Literature Review
A 43-year-old man presented with a 1-week history of progressive weakness of left leg and voiding difficulty. T2-weighted sagittal magnetic resonance image (MRI) showed large size disk extrusion on L4 to L5 level. T1-weighted sagittal MRI with gadolinium enhancement showed rim-enhanced irregularly oval-shaped mass. We performed surgery and removed a large disk particle immediately after partial hemilaminectomy and ligament flavectomy. Disk particles were removed piecemeal. Most common presentation of this pathology was cauda equina syndrome. MRI usually shows rim-enhanced mass-like lesion and partial hemilaminectomy seems to be enough to treat this pathology.
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来源期刊
Neurosurgery Quarterly
Neurosurgery Quarterly 医学-神经科学
CiteScore
0.08
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Neurosurgery Quarterly synthesizes the broad wealth of material on international developments in the diagnosis, management, and surgical treatment of neurological disorders. By encompassing viewpoints from worldwide sources, the journal provides information in greater depth than is usually found in the medical literature.
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