Zahir KIZILAY, Elif BOLAT, Abdullah TOPÇU, Feridun ACAR

PSÖDOİNTRADURAL/İNTRARADİKÜLER DİSK HERNİASYONU: BİR VAKA SUNUMU VE LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ

İntraradiküler disk herniasyonu, intradural disk herniasyonunun özel bir alt tipidir. İntradural disklerin oluşumetyolojisine yönelik birçok teori öne sürülse de bu patolojik durumun oluşum patofizyolojisi tam olarakaçıklanamamıştır. Bu patolojik durum dural anatomi temelinde sınıflandırılarak tip A ve tip B olmak üzere 2 altgruba ayrılmıştır. İntradural intraradiküler disklerin tanımlanmasında preoperatif dönemde bir spesifik yöntemveya görüntüleme bulgusu yoktur. Bu nedenle bu hastaların çoğuna intraoperatif olarak tanı konulmaktadır vehatta başarısız bel cerrahi sonrası ikinci operasyonda tanı almaktadır. Bu vaka sunumunda 54 yaşında, solsiyatalji kliniğiyle başvuran ve yapılan preoperatif görüntüleme tetkiklerinde spesifik bir bulgu saptanmayan birbayan hastanın klinik ve radyolojisi sunularak literatür tekrar gözden geçirildi

Anahtar Kelimeler:

İntradural disk herniasyonu, intraradiküler disk herniasyonu, lomber disk hernisi

Pseudointradural/Intraradicular Disc Herniation: A Case Report and Review of the Literature

Intraradicular disc herniation is a special subtype of intradural disc herniation. Although many theories has been suggested about the formation of intradural discs, the pathophysiology of this pathological state hasn't been explained exactly yet. This state has been classified on the basis of dural anatomy and separated into two subgroups as typeAand B. There is no spesific technique or neuroradiological picture of diagnosing intradural intraradicular disc herniation in the preoperative process. Because of this, the patients are mostly diagnosed intraoperatively and they are even diagnosed in next operations after failed back surgery. In this case report we presented the clinical and radiologic features of a 54 year old female patient with the applying symptom of left sciatalgia and with no spesific findings in her preoperative imaging studies and the literature has been reviewed.

Keywords:

Intradural disc herniation, intraradicular disc herniation, lumbar disc herniation,

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