دورية أكاديمية
Subannular herniated nucleus pulposus with cauda equina syndrome treated by mobile outside-in, interannular Transforaminal Endoscopic Lumbar Discectomy (TELD) – A case report
| العنوان: | Subannular herniated nucleus pulposus with cauda equina syndrome treated by mobile outside-in, interannular Transforaminal Endoscopic Lumbar Discectomy (TELD) – A case report |
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| المؤلفون: | Hyeun Sung Kim, Ifthekar Syed, Ravindra Singh, Il Tae Jang |
| المصدر: | Interdisciplinary Neurosurgery, Vol 24, Iss , Pp 101111- (2021) |
| بيانات النشر: | Elsevier, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Subannular herniated nucleus pulposus, Cauda equina syndrome, Transforaminal Endoscopic Lumbar Discectomy (TELD), Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Background: Protrusion, extrusion and sequestrated discs are common types of disc herniation. Protrusion is the variant with intact annulus. Sometimes nucleus pulposus may break through inner layers of the annulus and extrude to lie between the outer and inner layers of the annulus fibers. Such herniation may be called as subannular herniation.The endoscopic approaches are an attractive option in younger population as they are minimally invasive, highly efficient and offer early rehabilitation, early functional recovery and improved quality of life.We report one such case where a challenging herniated subannular nucleus pulposus was treated by outside-in inter-annular Transforaminal endoscopic disc surgery (TELD). Case report: A 17-year-old female presented to our clinic with insidious onset, progressive low back ache and right leg pain of 3 months duration. The pain increased in intensity as the time elapsed and the Visual Analogue Score (VAS) on presentation was VAS- 5 (Back) and VAS-7 (right Leg). These symptoms were also associated with reduced sensations over the right L5 dermatomal distribution and perianal hypo-aesthesia. There was weakness in bilateral great toe dorsiflexion and mild urinary symptoms. Magnetic resonance imaging (MRI) of the Lumbar spine showed a herniated subannular Disc at L4-L5 level with a large central component compressing the thecal sac and traversing nerve root. The patient underwent Mobile Outside-in Interannular Transforaminal Endoscopic Lumbar Discectomy (TELD). Patient’s symptoms improved significantly after surgery and visual analogue score improved to, VAS Back – 1 and VAS Leg – 0. At six months follow up, the neurology was normal. Conclusion: Mobile outside-in, Interannular Transforaminal Endoscopic Lumbar Discectomy (TELD) is an effective, minimally-invasive option to treat sub annular herniated nucleus pulposus. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2214-7519 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2214751921000232; https://doaj.org/toc/2214-7519 |
| DOI: | 10.1016/j.inat.2021.101111 |
| URL الوصول: | https://doaj.org/article/caed093bbcc74b38a5e3ad227e883602 |
| رقم الأكسشن: | edsdoj.093bbcc74b38a5e3ad227e883602 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 22147519 |
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| DOI: | 10.1016/j.inat.2021.101111 |