Lumbar disc herniation presenting special symptoms or operative findings.
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we have described 12 cases of lumbar disc herniation presenting special symptoms or operative findings. This includes 3 cases of extraforaminal herniation, 4 cases presenting drop foot, 1 case with vesicorectal disturbance, 1 case of intradural herniation, 2 cases of sequestrated herniation behind dural sac and 1 case of extruded herniation from the other side, out of 205 operated cases of lumbar disc herniation. For extraforaminal herniation, CT—discography is most valuable and can give us the selection of operative procedures. Two types of the pathomechanism for producing drop foot are considered: lateral root entrapment and central caudal compression. In each of them, some additional factors, for example, neural canal stenosis must be considered. Intradural herniation is rare but we have to be suspicious by preoperative diagnostic methods, and the palpation of dura is necessary not to overlook this condition.
- 西日本整形・災害外科学会の論文
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