{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T14:42:58Z","timestamp":1784904178521,"version":"3.55.0"},"reference-count":15,"publisher":"The Korean Society of Anesthesiologists","issue":"2","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2022,4,30]]},"abstract":"<jats:p>Background: Intradural disc herniation (IDH) is a very rare and challenging diagnosis, with an estimated incidence of less than 1.5%. The pathogenesis of IDH remains uncertain. Definitive management remains surgical; however, some cases may initially be managed non-surgically. Case: A middle-aged male with presented with acute right-sided lumbar radiculopathy following heavy lifting. History was significant for prior lumbar disc herniation managed non-surgically. Lumbar MRI demonstrated a large disc herniation. The patient was initially treated non-surgically with epidural steroid injections. At 4-months, he re-injured and follow-up images demonstrated the herniated disc penetrating the dura and the diagnosis of intradural disc herniation.Conclusions: The present case is rare because the IDH occurred at the L3-4 level and resulted in unilateral radiculopathy without cauda-equina symptoms and occurred in the absence of prior surgery. This patient was initially treated non-surgically with satisfactory relief, however, reinjury led to progression of IDH with new neurological deficits necessitating surgery.  <\/jats:p>","DOI":"10.17085\/apm.21100","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T07:15:50Z","timestamp":1648797350000},"page":"221-227","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Multispecialty perspective on intradural disc herniation: diagnosis and management  - A case report -"],"prefix":"10.17085","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6513-0058","authenticated-orcid":true,"given":"Vinicius Tieppo","family":"Francio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7784-7301","authenticated-orcid":true,"given":"Christopher S.","family":"Wie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micheal T.","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew T.","family":"Neal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark K.","family":"Lyons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wende N.","family":"Gibbs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie H.","family":"Strand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2573","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjaa611"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.08.022"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.7600"},{"key":"ref4","first-page":"e19025","volume-title":"Intradural disc herniation at L4\/5 level causing Cauda equina syndrome: a case report","author":"Luo","year":"2020"},{"key":"ref5","first-page":"75","volume-title":"Intradural lumbar disc herniations: the role of MRI in preoperative diagnosis and review of the literature","author":"D'Andrea","year":"2004"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.4103\/ajns.ajns_55_17"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/bf01400685"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-012-2516-4"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-009-1200-9"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101204"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.5334\/jbr-btr.910"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2014.06.033"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2006.02.025"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2016150223"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-4125-5"}],"container-title":["Anesthesia and Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-21100.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.21100","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-21100.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T05:04:16Z","timestamp":1651208656000},"score":1,"resource":{"primary":{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.21100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,30]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.17085\/apm.21100","relation":{},"ISSN":["1975-5171","2383-7977"],"issn-type":[{"value":"1975-5171","type":"print"},{"value":"2383-7977","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,30]]},"assertion":[{"value":"2021-10-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-02-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-01","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}