Migratory Intradural Disk Herniation and a Strategy for Intraoperative Localization

Authors

Scott D. Daffner, West Virginia University
Cara L. Sedney, West Virginia University
Charles L. Rosean, West Virginia University

Document Type

Article

Publication Date

2015

College/Unit

School of Medicine

Department/Program/Center

Orthopaedics

Abstract

Study Design

Case report.

Objective

Describe a case of intradural disk herniation and a method for intraoperative localization.

Methods

Intradural disk herniations are uncommon but well described. The diagnosis of these lesions is often difficult, and sometimes they may be diagnosed only through an intradural exploration after an expected disk fragment cannot be located. We report the case of an intradural disk herniation with an additional diagnostic difficulty—a migrated intradural disk.

Results

We present the first intraoperative imaging evidence of disk migration and propose a strategy to locate intradural disk fragments prior to durotomy.

Conclusion

Intradural disk herniations should be suspected when intraoperative findings are not congruent with imaging findings. An intraoperative myelogram may be helpful.

Digital Commons Citation

Daffner, Scott D.; Sedney, Cara L.; and Rosean, Charles L., "Migratory Intradural Disk Herniation and a Strategy for Intraoperative Localization" (2015). Faculty & Staff Scholarship. 2247.
https://researchrepository.wvu.edu/faculty_publications/2247

Source Citation

Daffner, S. D., Sedney, C. L., & Rosen, C. L. (2014). Migratory Intradural Disk Herniation and a Strategy for Intraoperative Localization. Global Spine Journal, 5(1), 55–58. https://doi.org/10.1055/s-0034-1381728

Comments

© 2015 Georg Thieme Verlag KG Stuttgart · New York