Intra-radicuar Disc Herniation mimicking a Nerve Root Tumor.
BACKGROUND
Intra-radicular disc herniations are rare disorders with only few cases reported in literature. In most of these cases there is evidence of some part of the disc in adjacent area. We present a case of completely intra-radicular disc which was misdiagnosed as nerve root tumor as there was no evidence of disc prolapse at the time of diagnosis.


METHODS
51 year old male presented with history of severe back pain radiating to right lower limb since 11/2 month. MRI showed hypointense lesion completely inside the S1 root and a provisional diagnosis of nerve root tumor was done. At surgery, fluffy material was removed from the lesion which was histopathologically confirmed as intervertebral disc. Post operatively all symptoms of patient was relieved except dysesthesia in sole which lasted for a year post surgery. At 5 year follow up patient has no symptoms.


CONCLUSIONS
A diagnosis of intra-radicular disc should be considered in differential of nerve root tumor. Surgical excision of intra-radicular disc gives good clinical and functional results.
Division of Spine Surgery Lakeshore Hospital and Research Center Ltd, Kochi, Kerala, India.
Suresh Sivadasan
SS
Pillai
Intra-radicular disc; interdural disc herniation; nerve root tumor