ArticleSurgical neurology international2024
Intradural T12-L1 disc herniation in a patient with achondroplasia: A case report.
Article in Surgical neurology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: There are very few reports of intradural disc herniations associated with achondroplasia described in the literature. Case Description: A patient with achondroplasia presented with progressive paraparesis attributed to a magnetic resonance-documented intradural disc herniation at the T12-L1 level occupying more than 90% of the spinal canal. It was successfully removed through a T12 laminectomy with durotomy; note a laminectomy would have been contraindicated if this had been an extradural anterior/anterolateral disc. Postoperatively, the patient progressively improved and, within 6 months, had 4/5 proximal/distal function and full sphincter control. Conclusion: A patient with achondroplasia and an intradural T12/L1 disc herniation (i.e., unlike an extradural anterior/anterolateral thoracic disc) successfully underwent a decompressive laminectomy with near full resolution of their preoperative paraparesis.
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