UNCOMMON TYPES OF DISC HERNIA ( A REPORT OF THREE CASES AND REVIEW OF LITERATURE)
Keywords:
Disc, Hernia, MRI
Abstract
Background : Spinal disc hernia is prolapse of nucleus pulposus through a defect in annulus fibrosus. Over 90% of cases occur in the lumbar spine with only 1% being thoracic. Sequestered disc hernia is the last spectrum of progression of disc hernia with formation of mobile free fragment. Aim : To add to literature documentation of uncommon types of disc hernia Case Reports : CASE 1 : A 63year old Cameroonian man with L4/L5 sequestered disc hernia, seen posterior to L5 vertebral body. He had discectomy and symptomatic reliefs were better than pre-operative status conforming to McCulloch’s clinical outcome grade 3. CASE 2 : A 34year old male Cameroonian with chronic back pain and paraesthesia following trauma. Thoracic spine Magnetic resonance imaging (MRI) revealed T11/T12 disc hernia with severe epidural compression. He declined discectomy for an Overseas treatment. CASE 3 : A 72year old male Nigerian who had L3/L4 iatrogenic spinal fusion 5years ago. Lumbo-sacral spine MRI following recurrent low back pain showed L2/L3 and L4/L5 disc hernias. The L2/L3 hernia above the bony ankylosis interestingly is severer than L4/L5 hernia. He was managed conservatively. Conclusion : MRI increasing availability in Central Africa will detect more cases of uncommon types of disc hernias.
Downloads
- Article PDF
- TEI XML Kaleidoscope (download in zip)* (Beta by AI)
- Lens* NISO JATS XML (Beta by AI)
- HTML Kaleidoscope* (Beta by AI)
- DBK XML Kaleidoscope (download in zip)* (Beta by AI)
- LaTeX pdf Kaleidoscope* (Beta by AI)
- EPUB Kaleidoscope* (Beta by AI)
- MD Kaleidoscope* (Beta by AI)
- FO Kaleidoscope* (Beta by AI)
- BIB Kaleidoscope* (Beta by AI)
- LaTeX Kaleidoscope* (Beta by AI)
How to Cite
References
S Chapman, R Nakielny (2003) Aids to Radiological Differential diagnosis. 69-71.
K Ohnishi, K Miyamoto, Y Kanamori, H Kodama, H Hosoe, K Shimizu (2005) Anterior decompression and fussion for multiple thoracic disc herniation. 87(3), 356-360.
(2011) Spinal disc herniation.
S Boden (1996) Current concept review. The use of radiographic imaging studies in the evaluation of patient who have degenerative disorders of the lumbar spine. 78, 114-124.
L Almond, N Hamid, J Wasserberg (2007) Thoracic intradural disc herniation. 21(1), 32-34.
L Negoretic, V Cerina, T Sajko, Z Glaric (2001) Intra-dural disc herniation at T1/T2 level. 42(2), 93-95.
S Yabuki Basic update knowledge of intervertebral disc herniations: Review.
Toshihiko Fukushima, Seiichi Takenoshita (1999) ROLES OF RAS AND BRAF MUTATIONS IN THYROID CARCINOGENESIS. 51(2), 67-75.
Dr Md (2006) Magnetic Resonance Myelography in Evaluation of Degenerative Disc Disease of Lumbar Spine in Comparision with Conventional Magnetic Resonance Imaging of Lumbar Spine. 04(11), 14018-14027.
J Van Rijn, N Klemetso, J Reitsma, P Bossuyt, F Hulsmans, W Peul, G Den Heeten, J Stam, C Majoie (2006) Observer variation in the evaluation of lumbar herniated discs and root compression: spiral CT compared with MRI. 79(941), 372-377.
V Runge (1992) Magnectic resonance imaging clinical principles Philadelphia. 1741-1180.
A Thrush, D Enzmann (1990) MR imaging of infectious spondylits. 11(6), 1171-1180.
R Birla, A Singh, U Kharat (2005) Role of contrast enhanced MRI in treatment of a disc sequestered : A case report and literature. 15(4), 489-491.
K Acharya, T Senthil Nathan, Jrenjit Kumar, Kvenugopal Menon (2008) Primary and revision lumbar discectomy: A three-year review from one center. 42(2), 178.
B Rydevik (1994) Sciatica and herniated disc. Current aspects of pathophysiology and pain mechanisms. 109(3), 74-76.
D Mulleman, D Mammou, I Griffoul, H Watier, P Goupille (2006) Pathophysiologyof disk-related Sciatica. 1.-Evidence supporting a chemical component. 73(2), 151-158.
D Dietze, R Fessler (1993) Thoracic disc herniations. 4, 75-90.
J Oppenheim, A Rothman, V Sachder (1993) Thoracic herniated discs: review of literature and 12 cases. 60, 321-326.
A Isla, J Roda, J Bencosme, M Alvarez, M Blazquez (1988) Intradural herniated disc: Case report and review of literature. (4), 737-739.
Nancy Epstein, Joseph Epstein, Robert Carras (1990) Spinal Stenosis and Disc Herniation in a 14-Year-Old Male. 13(8), 938-941.
S Sasaki, K Kaji, K Shiba (2005) Upper thoracic disc herniation followed by acutely progressing paraplegia. 43(12), 741-745.
R Saftic, M Gngic, E Ebling, B Splavski, B (2006) Case control study of risk factors for lumbar inter-vertebral disc herniation in Croatian Island population. 47(4), 593.
S Kawaguchi, H Ohnishi, . Fujita, Hiramatsu (1998) Thoracic disc herniations, transthoracic, lateral or posteriorlateral approach? A Review. 49, 599-608.
J Ohiu (2007) Posterior-lateral Endoscopic thoracic discectomy with Laser Thermoplasty. 1(1).
Mehdi Sasani, A F Ozer, Tunc Oktenoglu, Murat Cosar, Ercan Karaarslan, Ali Sarioglu (2007) Recurrent Radiculopathy Caused by Epidural Gas After Spinal Surgery. 32(10), E320-E325.
Elliot Carlisle, Mario Luna, Paul Tsou, Jeffrey Wang (2005) Percent spinal canal compromise on MRI utilized for predicting the need for surgical treatment in single-level lumbar intervertebral disc herniation. 5(6), 608-614.
Published
2011-05-20
Issue
Section
License
Copyright (c) 2011 Authors and Global Journals Private Limited
This work is licensed under a Creative Commons Attribution 4.0 International License.