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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 115 - 117 (3page)
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Lumbar disk herniation is common. Because of the posterior longitudinal ligament, migration usually occurs into the ventral epidural space. Rarely, fragments migrate into the dorsal epidural space. A 57-year-old man presented with lower back pain and weakness on right hip flexion and right knee flexion. He had lower back pain 1 day previously and received a transforaminal epidural block at a local hospital. The next day, he reported weakness of the right lower extremity. Lumbar spine magnetic resonance imaging revealed a dorsal epidural lesion with compression of the thecal sac at L2-3. Initial differential diagnoses included epidural hematoma after the block, neoplasm, and a sequestrated disk. Posterior lumbar decompression was performed. The lesion was identified intraoperatively as a large herniated disk fragment. Posterior epidural herniation of a lumbar disk fragment is rare and may be difficult to diagnose preoperatively. It may present as a variety of clinical scenarios and, as in this case, may mimic epidural hematoma.
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참고문헌 (10)
참고문헌 신청
Akhaddar A / 2011 / Posterior epidural migration of a lumbar disc fragment: a series of 6 cases / J Neurosurg Spine 15:117~128
Dösoğlu M / 2001 / 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
Ebeling U / 1992 / Are there typical localisations of lumbar disc herniations? A prospective study / Acta Neurochir (Wien) 117:143~148
Eysel P / 2001 / Dorsal compression of the epidural cord due to free sequestral lumbar prolapse. Diagnostic problems in magnetic resonance imaging and computed tomography / Arch Orthop Trauma Surg 121:238~240
Lakshmanan P / 2006 / Sequestrated lumbar intervertebral disc in the posterior epidural space: a report on two cases and review of the literature / Spine J 6:583~586
Dösoğlu M / 2001 / 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
Ebeling U / 1992 / Are there typical localisations of lumbar disc herniations? A prospective study / Acta Neurochir (Wien) 117:143~148
Eysel P / 2001 / Dorsal compression of the epidural cord due to free sequestral lumbar prolapse. Diagnostic problems in magnetic resonance imaging and computed tomography / Arch Orthop Trauma Surg 121:238~240
Lakshmanan P / 2006 / Sequestrated lumbar intervertebral disc in the posterior epidural space: a report on two cases and review of the literature / Spine J 6:583~586
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