Acta Neurochirurgica

, Volume 160, Issue 5, pp 945–947 | Cite as

Intradural disc herniation: how I do it

  • Víctor Rodrigo
  • Marta Claramonte
  • Mónica Martín
  • Juan B. Calatayud
How I Do it - Spine



Intradural disc herniation is a rare phenomenon in spine surgery. Diagnosis is difficult despite current neuroradiologic imaging techniques.


We present a case of a 59-year-old man with lumbar and radicular pain and a recurrent lumbar herniation. A laminectomy was performed after no clear disc herniation in the epidural space was found and an intradural mass was palpable. A durotomy showed an intradural disc fragment that was removed, followed by an arthrodesis.


Only intraoperative findings lead to a definitive diagnosis for intradural herniation. A durotomy needs to be performed. In this case, an arthrodesis was necessary to avoid complications of segmental instability.


Intradural disc herniation Lumbar discectomy Recurrent disc herniation Transdural approach 


Compliance with ethical standards

Informed patient consent

The authors received consent from the patient to participate in the submission.

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

Supplemental Digital Content 1

This Video shows the transdural discectomy. (MP4 288,560 kb)


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Víctor Rodrigo
    • 1
  • Marta Claramonte
    • 1
  • Mónica Martín
    • 1
  • Juan B. Calatayud
    • 1
  1. 1.Department of NeurosurgeryHospital Clínico Universitario Lozano BlesaZaragozaSpain

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