Resumos
São relatados dois casos de hérnia de disco lombar intradural. Os autores salientam a raridade desta ocorrência e fazem comentários sobre os fatores que podem determina-la. Ambos os pacientes foram operados, com extirpação total da hérnia. Houve completa recuperação dos pacientes.
Two cases of intradural herniated lumbar disc in the space L4-L5 are reported and some considerations about this unusual occurrence are made. Sudden onset after physical strength with lumbar pain irradiated to the legs, bilateral reduction of the muscle power for extension movements, bilateral abolition of the ankle jerk reflexes, bilateral Lasègue sign and sensibility disturbances were observed in both patients. In both cases the protein content of the spinal fluid was elevated and the myelography showed a complete block between L4-L5. Both patients were submited to lumbar laminectomy, a irregular mass between the cauda equina nerves with the aspect of pulpous nucleus being disclosed and completely removed. The postoperative course was uneventfull with complete recovery.
Hérnias intradural de discos lombares. relato de dois casos
Intradural herniation of lumbar intervertebral disc. Report of two cases
Joel M. Guelmann; Luiz M. Fogel; José C. Saleme; Salim I. Dahab
12.ª Enfermaria da Santa Casa da Misericórdia do Rio de Janeiro, Serviço de Neurocirurgia (Dr. Paulo Niemeyer)
RESUMO
São relatados dois casos de hérnia de disco lombar intradural. Os autores salientam a raridade desta ocorrência e fazem comentários sobre os fatores que podem determina-la. Ambos os pacientes foram operados, com extirpação total da hérnia. Houve completa recuperação dos pacientes.
SUMMARY
Two cases of intradural herniated lumbar disc in the space L4-L5 are reported and some considerations about this unusual occurrence are made. Sudden onset after physical strength with lumbar pain irradiated to the legs, bilateral reduction of the muscle power for extension movements, bilateral abolition of the ankle jerk reflexes, bilateral Lasègue sign and sensibility disturbances were observed in both patients. In both cases the protein content of the spinal fluid was elevated and the myelography showed a complete block between L4-L5. Both patients were submited to lumbar laminectomy, a irregular mass between the cauda equina nerves with the aspect of pulpous nucleus being disclosed and completely removed. The postoperative course was uneventfull with complete recovery.
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Serviço de Neurocirurgia Hospital do I.A.S.E.G. 20000 Rio de Janeiro, GB Brasil.
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- 2. LYONS, A. E. & WISE, B. L. Subarachnoid rupture of intervertebral disc fragments. J. Neurosurg. 18:242, 1961.
- 3. TAPTAS, J. N.; ANDREADIS, A. & KORDIOLIS, N. I. Les hernies discales lombaires sous-durales. Neuro-chirurgie (Paris) 17:51, 1971.
- 4. WILSON, P. J. Cauda equina compression due to intrathecal herniation of an intervertebral disc. British J. Surg. 49:423, 1962.
Datas de Publicação
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Publicação nesta coleção
18 Abr 2013 -
Data do Fascículo
Set 1972
