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

KARAVELİOĞLU, Ergün; TÜRKOĞLU, Mehmet Erhan; ŞANLI, Ahmet Metin; ŞEKERCİ, Zeki; ORAL, Nezih

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

Mehmet Erhan TÜRKOĞLU, (Abant İzzet Baysal Üniversitesi, Düzce Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Bolu, Türkiye)

Ergün KARAVELİOĞLU, (Afyon Kocatepe Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Afyonkarahisar, Türkiye)

Nezih ORAL, (Sağlık Bakanlığı Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 1. Nöroşirürji Kliniği, Ankara, Türkiye)

Ahmet Metin ŞANLI, (Sağlık Bakanlığı Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 1. Nöroşirürji Kliniği, Ankara, Türkiye)

Zeki ŞEKERCİ (Sağlık Bakanlığı Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 1. Nöroşirürji Kliniği, Ankara, Türkiye)

Journal of Turkish Spinal Surgery

2 0

Yıl: 2013 Cilt: 24 Sayı: 2 Sayfa Aralığı: 165 - 168 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

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

Öz:

Posterior epidural disk migrasyonu oldukça nadir bir olaydır.Posterior epidural disk migrasyonunun kauda ekina sendromuile sonuçlanması çok daha nadirdir. Manyetik rezonansgörüntüleme ile posteriora migre disk herniyasyonlarınıntanısı oldukça kolaydır. Sıcak su ile masajı takiben gelişenakut kauda ekina sendromu gelişen bir hastayı bu çalışmadasunulmuştur. Acil manyetik rezonans görüntüleme, L2-L3düzeyinde, disk fragmanın posterior migrasyonu olmaksızındisk herniyasyonunu gösterdi. Acil olarak L2 dekompresyonamaçlı, L2 total laminektomi yapıldı. Hemen laminanın altında,çevre dokulara yapışık olmayan, iki adet serbest fragmançıkartıldı. Postoperatif dönemde hastanın ağrı yakınmasıgeçti. 12 ay sonraki muayenesinde hafif düzeyde paraparezisiolduğu ve üriner inkontinansının devam ettiği görüldü.Posteriora migre disk fragmanlarının tanısında manyetikrezonans görüntüleme oldukça yararlıdır. Nadirde olsa serbest fragmanlarının manyetik rezonansgörüntüleme ile tespit edilemediği vakalar mevcuttur.Özellikle semptomatik olgularda, bu durumun cerrahlartarafından bilinmesi gerekir.

Anahtar Kelime:

Konular: Cerrahi

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

Öz:

Posterior epidural disc migration is a very unusual event.Cauda equina syndrome resulting from a posterior epiduraldisc migration is also quite uncommon. Diagnosis of aposterior migrated disc fragment can be made easily bymagnetic resonance imaging. The patient is described in thisreport presented with an acute cauda equina syndrome aftera massage with hot water. An immediate magnetic resonanceimaging revealed L2-L3 disc herniation without argumentfor posterior epidural disc migration. Decompressive total L2laminectomy was performed immediately, and two unattacheddisc fragments were observed and removed just underneaththe lamina. The patient was released of pain postoperatively.After 12 months, the patients had slight paraparesis andurinary incontinence. Diagnosis of the posterior migrated discfragment with magnetic resonance images is very favorable.Migrated disc fragments were not seen on magnetic resonanceimaging. Especially in symptomatic cases, the neurosurgeonsshould keep this unique entity in their mind.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	TÜRKOĞLU M, KARAVELİOĞLU E, ORAL N, ŞANLI A, ŞEKERCİ Z (2013). Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. , 165 - 168.
Chicago	TÜRKOĞLU Mehmet Erhan,KARAVELİOĞLU Ergün,ORAL Nezih,ŞANLI Ahmet Metin,ŞEKERCİ Zeki Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. (2013): 165 - 168.
MLA	TÜRKOĞLU Mehmet Erhan,KARAVELİOĞLU Ergün,ORAL Nezih,ŞANLI Ahmet Metin,ŞEKERCİ Zeki Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. , 2013, ss.165 - 168.
AMA	TÜRKOĞLU M,KARAVELİOĞLU E,ORAL N,ŞANLI A,ŞEKERCİ Z Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. . 2013; 165 - 168.
Vancouver	TÜRKOĞLU M,KARAVELİOĞLU E,ORAL N,ŞANLI A,ŞEKERCİ Z Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. . 2013; 165 - 168.
IEEE	TÜRKOĞLU M,KARAVELİOĞLU E,ORAL N,ŞANLI A,ŞEKERCİ Z "Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings." , ss.165 - 168, 2013.
ISNAD	TÜRKOĞLU, Mehmet Erhan vd. "Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings". (2013), 165-168.

APA	TÜRKOĞLU M, KARAVELİOĞLU E, ORAL N, ŞANLI A, ŞEKERCİ Z (2013). Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. Journal of Turkish Spinal Surgery, 24(2), 165 - 168.
Chicago	TÜRKOĞLU Mehmet Erhan,KARAVELİOĞLU Ergün,ORAL Nezih,ŞANLI Ahmet Metin,ŞEKERCİ Zeki Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. Journal of Turkish Spinal Surgery 24, no.2 (2013): 165 - 168.
MLA	TÜRKOĞLU Mehmet Erhan,KARAVELİOĞLU Ergün,ORAL Nezih,ŞANLI Ahmet Metin,ŞEKERCİ Zeki Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. Journal of Turkish Spinal Surgery, vol.24, no.2, 2013, ss.165 - 168.
AMA	TÜRKOĞLU M,KARAVELİOĞLU E,ORAL N,ŞANLI A,ŞEKERCİ Z Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. Journal of Turkish Spinal Surgery. 2013; 24(2): 165 - 168.
Vancouver	TÜRKOĞLU M,KARAVELİOĞLU E,ORAL N,ŞANLI A,ŞEKERCİ Z Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings. Journal of Turkish Spinal Surgery. 2013; 24(2): 165 - 168.
IEEE	TÜRKOĞLU M,KARAVELİOĞLU E,ORAL N,ŞANLI A,ŞEKERCİ Z "Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings." Journal of Turkish Spinal Surgery, 24, ss.165 - 168, 2013.
ISNAD	TÜRKOĞLU, Mehmet Erhan vd. "Cauda equina syndrome due to posterior squestered lumbar disc herniation: A rare case report and mri findings". Journal of Turkish Spinal Surgery 24/2 (2013), 165-168.