Spinal nerve root ganglionitis as a cause of disc herniation: case report.
The authors report on a patient in whom monoradicular pain was caused by ganglionitis of a spinal nerve. Neuroimaging and intraoperative findings identified what were thought to be tumorlike changes in the affected nerve root. The neuropathological examination, however, revealed typical signs of ganglionitis. This rare inflammation usually appears with viral infections, as part of paraneoplastic symptoms, or in the presence of Sjögren disease. Because all of these differential diagnoses were negative in the treated patient, chronic nerve root compression due to disc herniation was suspected as the causative factor for the spinal ganglionitis.
Roser
Florian
F
Department of Neurosurgery, University of Tübingen, Germany. f.roser@gmx.de
Ritz
Rainer
R
Morgalla
Matthias
M
Tatagiba
Marcos
M
Bornemann
Antje
A
D003937:Diagnosis, Differential; D005727:Ganglia, Spinal / Q000473:pathology*; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007430:Intraoperative Care; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D011128:Polyradiculopathy / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology / Q000473:pathology; D013126:Spinal Nerve Roots / Q000473:pathology* / Q000601:surgery