Friday, 9 June 2017

Thoracic Intradural Disc Herniation: Key Considerations in Operative Management

Intradural Disc Herniation
A case presentation of intradural T11/12 disc with particular reference to the operative management, to emphasise the importance of identifying these rare cases and identify important operative considerations.

An 80 year old gentleman presented clinic with acute onset back and leg pain. He described pain in the L4 dermatomal distribution to both legs, with normal bladder and bowel function.

Lower limb power was normal, L3/4 reflexes were reduced and there were no signs of cord compression. MRI was performed which demonstrated a T11/12 disc prolapse with a possible intradural element.

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