Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Posterior Epidural Migration of Thoracic Disc Fragment

  • Kim, Il-Sup (Department of Neurosurgery St. Vincent's Hospital The Catholic University of Korea) ;
  • Lee, Sang-Won (Department of Neurosurgery St. Vincent's Hospital The Catholic University of Korea) ;
  • Son, Byung-Chul (Department of Neurosurgery St. Vincent's Hospital The Catholic University of Korea) ;
  • Sung, Jae-Hoon (Department of Neurosurgery St. Vincent's Hospital The Catholic University of Korea)
  • Published : 2008.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Migration of a disc fragment to the posterior epidural space is rare, especially in the thoracic spine. Only four such cases of posterior epidural migration of thoracic disc fragments have been reported. The authors report a case of 66-year-old man who presented with back pain and right leg weakness due to posterior epidural migration of thoracic disc fragment. The patient was successfully treated by laminectomy and partial facetectomy with disc removal.

Keywords

References

  1. Awwad EE, Martin DS, Smith KR Jr, Baker BK : Asymptomatic versus symptomatic herniated thoracic discs : their frequency and characteristics as detected by computed tomography after myelography. Neurosurgery 28 : 180-186, 1991 https://doi.org/10.1227/00006123-199102000-00002
  2. Bonaroti EA, Welch WC : Posterior epidural migration of an extruded lumbar disc fragment causing cauda equina syndrome. Clinical and magnetic resonance imaging evaluation. Spine 23 : 378-381, 1998 https://doi.org/10.1097/00007632-199802010-00018
  3. Bose B : Thoracic extruded disc mimicking spinal cord tumor. Spine J 3 : 82-86, 2003
  4. Choi BJ, Kim DH, Park HS, Rhee DY : Posterior migration of extruded lumbar disc fragments-case report. J Korean Neurosurg Soc 41 : 137-140, 2007
  5. Dosoglu M, Is M, Gezen F, Ziyal MI : Posterior epidural migration of a lumbar disc fragment causing cauda equina syndrome : case report and review of the relevant literature. Eur Spine J 10 : 348-351, 2001 https://doi.org/10.1007/s005860100300
  6. Ebeling U, Reulen HJ : Are there typical localisations of lumbar disc herniations? A prospective study. Acta Neurochir (Wien) 117 : 143-148, 1992 https://doi.org/10.1007/BF01400611
  7. Eerens I, Demaerel P, Haven F, van Loon J, Van Calenbergh F, Wilms G : Imaging characteristics of noncontained migrating disc fragment and cyst. Eur Radiol 11 : 854-857, 2001 https://doi.org/10.1007/s003300000689
  8. Eysel P, Herbsthofer B : Dorsal compression of the epidural cord due to free sequestral lumbar prolaps. Diagnostic problems in magnetic resonance imaging and computed tomography. Arch Orthop Trauma Surg 121 : 238-240, 2001 https://doi.org/10.1007/s004020000213
  9. Fisher RG : Protrusions of thoracic disc. The factor of herniation through the dura mater. J Neurosurg 22 : 591-593, 1965 https://doi.org/10.3171/jns.1965.22.6.0591
  10. Hwang GJ, Suh JS, Na JB, Lee HM, Kim NH : Contrast enhancement pattern and frequency of previously unoperated lumbar discs on MRI. J Magn Reson Imaging 7 : 575-578, 1997 https://doi.org/10.1002/jmri.1880070319
  11. Isla A, Roda JM, Bencosme J, Alvarez MP, Blazquez MG : Intradural herniated dorsal disc : case report and review of the literature. Neurosurgery 22 : 737-739, 1988 https://doi.org/10.1227/00006123-198804000-00020
  12. Lichtor T : Posterior epidural migration of extruded lumbar disk. Surg Neurol 32 : 311-312, 1989 https://doi.org/10.1016/0090-3019(89)90236-X
  13. Loughenbury PR, Wadhwani S, Soames RW : The posterior longitudinal ligament and peridural (epidural) membrane. Clin Anat 19 : 487-492, 2006 https://doi.org/10.1002/ca.20200
  14. Manabe S, Tateishi A : Epidural migration of extruded cervical disc and its surgical treatment. Spine 11 : 873-878, 1986 https://doi.org/10.1097/00007632-198611000-00005
  15. Masaryk TJ, Ross JS, Modic MT, Boumphrey F, Bohlman H, Wilber G : High-resolution MR imaging of sequestered lumbar intervertebral disks. AJR Am J Roentgenol 150 : 1155-1162, 1988 https://doi.org/10.2214/ajr.150.5.1155
  16. Morizane A, Hanakita J, Suwa H, Ohshita N, Gotoh K, Matsuoka T : Dorsally sequestrated thoracic disc herniation-case report. Neurol Med Chir 11 : 769-772, 1999
  17. Neugroschl C, Kehrli P, Gigaud M, Ragragui O, Maitrot D, Manelfe C, et al : Posterior extradural migration of extruded thoracic and lumbar disc fragments : role of MRI. Neuroradiology 41 : 630-635, 1999 https://doi.org/10.1007/s002340050815
  18. Partheni M, Fratzoglou M, Kalogeropoulou Ch, Zabakis P, Panagiotopoulos V, Konstantinou D : Dorsal extradural thoracic disc fragment : a diagnostic challenge. J Spinal Disord Tech 18 : 544-546, 2005 https://doi.org/10.1097/01.bsd.0000128055.95837.92
  19. Robe P, Martin D, Lenelle J, Stevenaert A : Posterior epidural migration of sequestrated lumbar disc fragments. Report of two cases. J Neurosurg 90 (2 Suppl) : 264-266, 1999
  20. Sakas DE, Farrell MA, Young S, Toland J : Posterior thecal lumbar disc herniation mimicking synovial cyst. Neuroradiology 37 : 192-194, 1995 https://doi.org/10.1007/BF01578256
  21. Sandhu FS, Dillon WP: Spinal epidural abscess : evaluation with contrast-enhanced MR imaging. AJNR Am J Neuroradiol 12 : 1087-1093, 1991
  22. Schellinger D, Manz HJ, Vidic B, Patronas NJ, Deveikis JP, Muraki AS, et al : Disk fragment migration. Radiology 175 : 831-836, 1990 https://doi.org/10.1148/radiology.175.3.2343133
  23. Sze G : Magnetic resonance imaging in the evaluation of spinal tumors. Cancer 67 (4 Suppl) : 1229-1241, 1991 https://doi.org/10.1002/1097-0142(19910215)67:4+<1229::AID-CNCR2820671520>3.0.CO;2-D