Huge Sequestered Spinal Disc Mimicking Spinal Intradural Tumor

Sharifi, Guive; Alimohammadi, Ehsan; Ebrahimzadeh, Kaveh; Moradian, Karim; Rezaei, Omidvar

doi:10.18869/acadpub.irjns.2.3.26

Volume 2, Issue 3 (12-2016) Iran J Neurosurg 2016, 2(3): 26-28 | Back to browse issues page

‎ 10.18869/acadpub.irjns.2.3.26

Mendeley

Zotero

RefWorks

Sharifi G, Alimohammadi E, Ebrahimzadeh K, Moradian K, Rezaei O. Huge Sequestered Spinal Disc Mimicking Spinal Intradural Tumor. Iran J Neurosurg 2016; 2 (3) :26-28
URL: http://irjns.org/article-1-62-en.html

Huge Sequestered Spinal Disc Mimicking Spinal Intradural Tumor

Guive Sharifi¹

, Ehsan Alimohammadi ^*

², Kaveh Ebrahimzadeh³

, Karim Moradian²

, Omidvar Rezaei⁴

1- Associate Professor, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
2- Resident of Neurosurgery, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
3- Assistant Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran
4- Professor of Neurosurgery, Shahid Beheshti University of Medical Sciences, Loghman Hakim Hospital, Tehran, Iran

Abstract: (5754 Views)

Background and Importance: Disk sequestration can be defined as a herniated disk with perforation of the fibrous ring (or outermost annulus fibrosus) and posterior longitudinal ligament with migration of the disk fragment to the epidural space. Even after the introduction of high-resolution magnetic resonance imaging (MRI), it is still frequently misinterpreted as neoplastic masses. Unfortunately, no particular symptoms or signs are also known to allow differentiation between atypical hernias and spinal tumors.

Case Presentation: This study describes a rare case of a huge herniated and sequestrated disc, which is misinterpreted as a spinal tumor on the radiological report.

Conclusion: MRI findings are useful in the preoperative diagnosis of disc herniation. The differential diagnosis includes not only metastatic lesions but also some other benign epidural lesions such as synovial cysts, hematomas, and abscesses.

Keywords: Disk Sequestration, Spinal Tumor, Herniated Disk

Full Text [PDF 1245 kb] (4419 Downloads) | | Full Text (HTML) (1685 Views)

Type of Study: Case report | Subject: Gamma Knife Radiosurgery

References

1. Schellinger D, Manz H, Vidic B, Patronas N, Deveikis J, Muraki A, et al. Disk fragment migration. Radiology. 1990;175(3):831-6. [DOI:10.1148/radiology.175.3.2343133] [PMID]

2. Nievas MNC, Hoellerhage H-G. Unusual sequestered disc fragments simulating spinal tumors and other space-occupying lesions: clinical article. Journal of Neurosurgery: Spine. 2009;11(1):42-8. [DOI:10.3171/2009.3.SPINE08161] [PMID]

3. Aydin M, Ozel S, Sen O, Erdogan B, Yildirim T. Intradural disc mimicking: a spinal tumor lesion. Spinal Cord. 2004;42(1):52-4. [DOI:10.1038/sj.sc.3101476] [PMID]

4. Göçmez C, Kamaşak K, Başarslan SK, Ceviz A. Huge sequestered spinal disc with tumor appearance: a case report. Mustafa Kemal Üniversitesi Tıp Dergisi. 2013;4(15).

5. Lidov M, Stollman A, Casden A, Som P, Bederson J. MRI of lumbar intradural disc herniation. Clinical imaging. 1994;18(3):173-8. [DOI:10.1016/0899-7071(94)90077-9]

6. Őzer E, Yurtsever C, Yücesoy K, Güner M. Lumbar intraradicular disc herniation: report of a rare and preoperatively unpredictable case and review of the literature. The Spine Journal. 2007;7(1):106-10. [DOI:10.1016/j.spinee.2006.04.011] [PMID]

7. Ramsey RG, Geremia GK. CNS complications of AIDS: CT and MR findings. American Journal of Roentgenology. 1988;151(3):449-54. [DOI:10.2214/ajr.151.3.449] [PMID]

8. Saruhashi Y, Omura K, Miyamoto K, Katsuura A, Hukuda S. A migrated lumbar disc herniation simulating a dumbbell tumor. Journal of Spinal Disorders & Techniques. 1999;12(4):307-9.

9. Glickstein MF, Burke Jr DL, Kressel HY. Magnetic resonance demonstration of hyperintense herniated discs and extruded disc fragments. Skeletal radiology. 1989;18(7):527-30. [DOI:10.1007/BF00351754] [PMID]

10. Hwang GJ, Suh JS, Na JB, Lee HM, Kim NH. Contrast enhancement pattern and frequency of previously unoperated lumbar discs on MRI. Journal of Magnetic Resonance Imaging. 1997;7(3):575-8. [DOI:10.1002/jmri.1880070319] [PMID]

11. Masaryk TJ, Ross JS, Modic MT, Boumphrey F, Bohlman H, Wilber G. High-resolution MR imaging of sequestered lumbar intervertebral disks. American journal of neuroradiology. 1988;9(2):351-8.

Rights and Permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by: Yektaweb