In clinical practice, the loss of resistance felt when an epidural needle reaches the epidural space might be expected to differ from that felt if the tip of the needle is placed in the
intradural space, but this was not noticed in any of the 10 patients we previously reported1-3.
She developed right arm weakness, and an MRI scan of her spine (FIGURE 1) showed multiple
intradural lesions.
In 1942, Dandy (2) first reported on an
intradural disc herniation among 300 patients who underwent surgery for lumbar disc herniation.
Then, in 1992, she was diagnosed with
intradural extramedullary spinal cysts, a rare, progressive condition that causes weakness, pain and numbness.
Gergin kord gelisimiyle ilerleyici norolojik kayip varliginda cerrahi olarak
intradural eksplorasyonla kord serbeslestirme yapilabilir (8).
Chapters on surgery include discussion of percutaneous biopsy; cervical and minimally invasive approaches; and thoracic, thoracolumbar, lumbar, and
intradural tumors.
Higher mortality rates are also associated with lower Glasgow Coma Scale (GCS) scores, additional
intradural lesions, temporal location, larger hematoma volumes, rapid clinical progression, pupil abnormalities, and increased intracranial pressure.
Congenitas: Mielomeningocele, meningocele, lipomeningocele Medula anclada, lipoma
intradural, agenesia de sacro Diastematomielia, siringomielia 2.
"We've found that many children with juvenile scoliosis have
intradural and extradural MRI changes, including syrinxes, lipomas, and tethered cords.
0-64 65-74 75-84 85+ Vascular lesions Aneurysms 552 96 4 - - Arteriovenous malformations 102 96 2 1 - Primary intracerebral haemorrhage 89 85 10 4 - Intracranial tumours (a) Benign Meningiomas 142 65 23 11 1.5 Schwannomas 70 79 20 1.5 - Pituitary tumours 104 88 10 2 - (b) Malignant Gliomas 543 77 18 3 0.5 Metastases 178 75 22 3 0.5 Spinal tumours Extradural 225 63 24 12 1
Intradural 108 79 15 6 1 Intracranial abscess 54 94 6 - - Trauma Extradural haemoorhage 71 93 6 1 - Depressed skull fracture 111 99 - 1 - Chronic subdural haematoma 109 36 25 36 4 Spinal degenerative disease Cervical spondylotic myelopathy 174 51 27 21 1 Lumbar canal stenosis 145 59 31 9 - Lumbar disc protrusions 550 97 2 1 - Table II.
Rosen, a neurosurgeon whose expertise is focused on cranial base and neurovascular surgery, as well as complex
intradural tumors of the posterior fossa and spinal cord, is helping people understand headaches during National Migraine and Headache Awareness Month (MHAM) in June.