Evidence map›Paper›PMID 35345683›Full record

ArticleCureus2022

Intradural Lumbar Disc Herniation From the Lateral Inner Surface of the Dura Without a Penetration Hole: A Case Report.

Naoki Segi, Kei Ando, Hiroaki Nakashima, Masaaki Machino, Shiro Imagama

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 56% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Naoki SegiOrthopaedics, Nagoya University Graduate School of Medicine, Nagoya, JPN.
Kei AndoOrthopaedics, Nagoya University Graduate School of Medicine, Nagoya, JPN.
Hiroaki NakashimaOrthopaedics, Nagoya University Graduate School of Medicine, Nagoya, JPN.
Masaaki MachinoOrthopaedics, Nagoya University Graduate School of Medicine, Nagoya, JPN.
Shiro ImagamaOrthopaedics, Nagoya University Graduate School of Medicine, Nagoya, JPN.
Nagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intradural disc herniation (IDH) is usually diagnosed during surgery when a herniated mass is found to have penetrated the ventral dura. We experienced a case of IDH that entered the dura from the lateral side with no penetrating hole. A 61-year-old man presented to our institution with left leg pain of two months' duration. Plain x-ray imaging showed degeneration of the lumbar spine, and a magnetic resonance imaging (MRI) scan revealed a suspected tumor at the L3-L4 level. Two weeks later, the patient suffered from acute cauda equina syndrome. A gadolinium-enhanced MRI showed an enlarged lesion with no enhancement visible, and emergency surgery was performed. The lesion originated from the left side of the dura. Despite the white debris suggesting a herniated disc, no penetrating hole was found in the dura. Pathologically, the lesion was found to be an intervertebral disc and was diagnosed as an intradural lumbar disc herniation. The patient's neurological symptoms improved, but he did not recover his left ankle dorsiflexion. In a degenerated lumbar spine, IDH may not always originate from the ventral dura and may not be accompanied by a penetrating hole.

Indexed as

cauda equina syndromeintradural disc herniationlumbar disc herniationparaplegiaposterior longitudinal ligament

Identifiers

PMID35345683
PMCPMC8942182
OpenAlexW4212945568

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.