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CASE REPORT
Year : 2008  |  Volume : 42  |  Issue : 1  |  Page : 94-96

Conus medullaris syndrome due to an intradural disc herniation: A case report


Department of Orthopaedics, KEM Hospital, Mumbai, India

Correspondence Address:
Kshitij S Chaudhary
205 3A Vaishali Nagar, KK Marg Jacob Circle, Mahalaxmi East, Mumbai
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.38590

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A 70-year-old male patient developed acute paraplegia due to conus medullaris compression secondary to extrusion of D12-L1 disc. After negative epidural examination intraoperatively, a durotomy was performed and an intradural disc fragment was excised. Patient did not regain ambulatory status at two-year follow-up. Intraoperative finding of negative extradural compression, tense swollen dura and CSF leak from ventral dura should alert the surgeon for the possibility of intradural disc herniation. A routine preoperative MRI is misleading and a high index of suspicion helps to avoid a missed diagnosis.


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