{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:17:52Z","timestamp":1785421072692,"version":"3.56.0"},"reference-count":41,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"introduction\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Intradural lumbar disc herniation (ILDH) is a rare condition causing severe neurological deficits and diagnostic challenges due to overlap with other intradural lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"case-presentation\">\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 68-year-old male presented with seven-month low back pain, leg numbness, and saddle anesthesia due to L3\u2013L4 ILDH complicated by cauda equina syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"management-and-outcomes\">\n                    <jats:title>Management and outcomes<\/jats:title>\n                    <jats:p>Single-port percutaneous endoscopic discectomy was performed with complete discectomy and dural repair using an artificial patch and biological glue. Postoperatively, the patient showed significant pain relief, improved left leg strength (grade 4.5\/5), restored bladder and bowel function, and MRI confirmed adequate decompression. At 1-month follow-up, he regained full independence with only mild residual left leg numbness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Single-port endoscopic discectomy effectively treats ILDH with cauda equina syndrome, facilitating significant neurological recovery and supporting minimally invasive approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.52965\/001c.161805","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T16:47:11Z","timestamp":1779468431000},"source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous endoscopic discectomy and dural repair for L3\u2013L4 intradural lumbar disc herniation presenting with cauda equina syndrome: A case report with a literature review"],"prefix":"10.52965","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8445-1869","authenticated-orcid":true,"given":"Aoran","family":"Maheshati","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People's Hospital of Xinjiang Uygur Autonomous Region","department":["Department of Spine Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Sr.","given":"Xinwei","family":"Liu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People's Hospital of Xinjiang Uygur Autonomous Region","department":["Department of Spine Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yikeshanjiang","family":"Wumaier","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01p455v08","id-type":"ROR","asserted-by":"publisher"}],"name":"\u65b0\u7586\u533b\u79d1\u5927\u5b66","department":["Department of Spine Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuwen","family":"Zhang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People's Hospital of Xinjiang Uygur Autonomous Region","department":["Department of Spine Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linsong","family":"Lu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People's Hospital of Xinjiang Uygur Autonomous Region","department":["Department of Spine Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02r247g67","id-type":"ROR","asserted-by":"publisher"}],"name":"People's Hospital of Xinjiang Uygur Autonomous Region","department":["Department of Spine Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1017\/s0317167100044905","article-title":"Intradural rupture of lumbar intervertebral disc","volume":"10","author":"S.T. Lee","year":"1983","journal-title":"Can J Neurol Sci"},{"issue":"3","key":"ref2","doi-asserted-by":"publisher","first-page":"181","DOI":"10.14245\/kjs.2013.10.3.181","article-title":"Traumatic Intradural Lumbar Disc Herniation without Bone Injury","volume":"10","author":"H. W. Lee","year":"2013","journal-title":"Korean J Spine"},{"issue":"2","key":"ref3","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.pjnns.2016.12.002","article-title":"Transdural herniated lumbar disc disease with muscle patch for closure of durotomy - A Brief review of literature","volume":"51","author":"H. A. Huliyappa","year":"2017","journal-title":"Neurol Neurochir Pol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.clineuro.2014.06.033","article-title":"Intradural disc herniation: radiographic findings and surgical results with a literature review","volume":"125","author":"K. Kobayashi","year":"2014","journal-title":"Clin Neurol Neurosurg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"383451","DOI":"10.1155\/2012\/383451","article-title":"The specific sagittal magnetic resonance imaging of intradural extra-arachnoid lumbar disc herniation","volume":"2012","author":"T. Sasaji","year":"2012","journal-title":"Case Rep Med"},{"issue":"3","key":"ref6","doi-asserted-by":"publisher","first-page":"389","DOI":"10.5137\/1019-5149.Jtn.5437-11.1","article-title":"Intradural disc herniation - a case report","volume":"23","author":"S.K. Jain","year":"2013","journal-title":"Turk Neurosurg"},{"issue":"20","key":"ref7","doi-asserted-by":"publisher","first-page":"E463","DOI":"10.1097\/01.brs.0000142433.21912.0d","article-title":"Intradural disc herniation and epidural gas: something more than a casual association?","volume":"29","author":"A. M. Hidalgo-Ovejero","year":"2004","journal-title":"Spine (Phila Pa 1976)"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"109569","DOI":"10.1016\/j.ejrad.2021.109569","article-title":"Imaging characteristics of intradural disc herniation: A comparison with large disc extrusion","volume":"137","author":"K. H. Nam","year":"2021","journal-title":"Eur J Radiol"},{"issue":"5","key":"ref9","doi-asserted-by":"publisher","first-page":"e84","DOI":"10.1055\/s-0035-1546952","article-title":"Against the Odds: Massive Lumbar Intradural Disk Herniation in the Elderly","volume":"5","author":"B. Orakcioglu","year":"2015","journal-title":"Global Spine J"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1038\/s41394-018-0100-9","article-title":"Misdiagnosis of posterior sequestered lumbar disc herniation: report of three cases and review of the literature","volume":"4","author":"A. Montalvo Afonso","year":"2018","journal-title":"Spinal Cord Ser Cases"},{"issue":"18","key":"ref11","doi-asserted-by":"publisher","first-page":"Case21336","DOI":"10.3171\/case21336","article-title":"Intradural lumbar disc herniation: illustrative case","volume":"2","author":"R. C. Ihejirika","year":"2021","journal-title":"J Neurosurg Case Lessons"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/j.wneu.2019.05.103","article-title":"An Unusual Case of Transdural Herniation of a Lumbar Intervertebral Disc: Diagnostic and Surgical Challenges","volume":"128","author":"A. R. Pedaballe","year":"2019","journal-title":"World Neurosurg"},{"issue":"Suppl 3","key":"ref13","doi-asserted-by":"publisher","first-page":"S404","DOI":"10.1007\/s00586-012-2516-4","article-title":"Intradural lumbar disc herniation: report of five cases with literature review","volume":"22 Suppl 3","author":"L. G. Ducati","year":"2013","journal-title":"Eur Spine J"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/j.wneu.2018.07.244","article-title":"Transforaminal Endoscopic Excision of Intradural Lumbar Disk Herniation and Dural Repair","volume":"119","author":"H. S. Kim","year":"2018","journal-title":"World Neurosurg"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1016\/j.wneu.2019.11.121","article-title":"Unexpected Intradural Lumbar Disk Herniation Found During Transforaminal Endoscopic Surgery","volume":"134","author":"S. J. Moon","year":"2020","journal-title":"World Neurosurg"},{"issue":"4","key":"ref16","doi-asserted-by":"publisher","first-page":"771","DOI":"10.4184\/asj.2016.10.4.771","article-title":"Utility of Discography as a Preoperative Diagnostic Tool for Intradural Lumbar Disc Herniation","volume":"10","author":"T. Matsumoto","year":"2016","journal-title":"Asian Spine J"},{"issue":"4","key":"ref17","doi-asserted-by":"publisher","first-page":"392","DOI":"10.22603\/ssrr.2018-0032","article-title":"Pure Conus Medullaris Syndrome without Lower Extremity Involvement Caused by Intradural Disc Herniation at L1\/2: A Case Report","volume":"3","author":"T. Inoue","year":"2019","journal-title":"Spine Surg Relat Res"},{"issue":"7","key":"ref18","doi-asserted-by":"publisher","first-page":"e19025","DOI":"10.1097\/md.0000000000019025","article-title":"Intradural disc herniation at L4\/5 level causing Cauda equina syndrome: A case report","volume":"99","author":"D. Luo","year":"2020","journal-title":"Medicine (Baltimore)"},{"issue":"4","key":"ref19","doi-asserted-by":"publisher","first-page":"e7600","DOI":"10.7759\/cureus.7600","article-title":"Intradural Disc Herniation: A Case Report and Literature Review","volume":"12","author":"A. Ashraf","year":"2020","journal-title":"Cureus"},{"issue":"3","key":"ref20","doi-asserted-by":"publisher","first-page":"277","DOI":"10.22603\/ssrr.2019-0074","article-title":"Spontaneous Resorption of Intradural Lumbar Disc Herniation: A Rare Case Report","volume":"4","author":"N. Morozumi","year":"2020","journal-title":"Spine Surg Relat Res"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.amsu.2020.08.022","article-title":"Challenges in intradural disc herniation diagnosis and surgery: A case report","volume":"58","author":"M. Thohar Arifin","year":"2020","journal-title":"Ann Med Surg (Lond)"},{"issue":"6","key":"ref22","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1001\/jama.1942.02830230008002","article-title":"SERIOUS COMPLICATIONS OF RUPTURED INTERVERTEBRAL DISKS","volume":"119","author":"W. E. Dandy","year":"1942","journal-title":"Journal of the American Medical Association"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1475","DOI":"10.2147\/jpr.S297304","article-title":"Upper Lumbar Intradural Disc Herniation: A Rare Case Report and Etiologic Analysis","volume":"14","author":"J. Chen","year":"2021","journal-title":"J Pain Res"},{"issue":"2","key":"ref24","doi-asserted-by":"publisher","first-page":"221","DOI":"10.17085\/apm.21100","article-title":"Multispecialty perspective on intradural disc herniation: diagnosis and management - A case report","volume":"17","author":"V. T. Francio","year":"2022","journal-title":"Anesth Pain Med (Seoul)"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"100138","DOI":"10.1016\/j.xnsj.2022.100138","article-title":"Intradural disc herniation of L2\/3: A case report and literature review","volume":"11","author":"P. Pholprajug","year":"2022","journal-title":"N Am Spine Soc J"},{"issue":"12","key":"ref26","doi-asserted-by":"publisher","first-page":"e12257","DOI":"10.1016\/j.heliyon.2022.e12257","article-title":"Intradural lumbar disc herniation: A case report and literature review","volume":"8","author":"C. H. Cheng","year":"2022","journal-title":"Heliyon"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"1047974","DOI":"10.3389\/fsurg.2022.1047974","article-title":"Intradural lumbar disc herniation of L2-L3: A case report and literature review","volume":"9","author":"X. Chen","year":"2022","journal-title":"Front Surg"},{"issue":"2","key":"ref28","doi-asserted-by":"publisher","first-page":"e35067","DOI":"10.7759\/cureus.35067","article-title":"Herniating Intradural Disc at Lumbar L4-L5 Level: A Case Report","volume":"15","author":"F. Javeed","year":"2023","journal-title":"Cureus"},{"issue":"6","key":"ref29","doi-asserted-by":"publisher","first-page":"1694","DOI":"10.1111\/os.13723","article-title":"Lumbar Intradural Disc Herniation Caused by Injury: A Case Report and Literature Review","volume":"15","author":"Y. Z. Jin","year":"2023","journal-title":"Orthop Surg"},{"issue":"12","key":"ref30","doi-asserted-by":"publisher","first-page":"5546","DOI":"10.1016\/j.asjsur.2023.08.043","article-title":"An unusual case report of intradural disc herniation mimicking the spinal intradural tumor","volume":"46","author":"X. Hu","year":"2023","journal-title":"Asian J Surg"},{"issue":"3","key":"ref31","doi-asserted-by":"publisher","first-page":"1577","DOI":"10.1016\/j.asjsur.2023.12.018","article-title":"A case of Tapia syndrome after intradural lumbar disc herniation","volume":"47","author":"J. Zhai","year":"2024","journal-title":"Asian J Surg"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"102724","DOI":"10.1016\/j.bas.2023.102724","article-title":"Intradural lumbar disc herniation with cauda equina syndrome: Case report and recent advances","volume":"4","author":"V. K. Loya","year":"2024","journal-title":"Brain Spine"},{"issue":"1","key":"ref33","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.spinee.2006.02.025","article-title":"Intradural lumbar disc herniation--is it predictable preoperatively? A report of two cases","volume":"7","author":"J. Y. Choi","year":"2007","journal-title":"Spine J"},{"issue":"12","key":"ref34","doi-asserted-by":"publisher","first-page":"5249","DOI":"10.1016\/j.asjsur.2024.05.303","article-title":"High lumbar intradural disc herniation (L1\/2) mistaken for intradural tumor: A case report","volume":"47","author":"D. Fang","year":"2024","journal-title":"Asian J Surg"},{"key":"ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2024.07.088","article-title":"Intradural disc herniation: A case report and review of literature","author":"Y. Yang","year":"2024","journal-title":"Asian J Surg"},{"issue":"2","key":"ref36","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1007\/s10143-003-0296-3","article-title":"Intradural lumbar disc herniations: the role of MRI in preoperative diagnosis and review of the literature","volume":"27","author":"G. D'Andrea","year":"2004","journal-title":"Neurosurg Rev"},{"issue":"11","key":"ref37","doi-asserted-by":"publisher","first-page":"3421","DOI":"10.1007\/s00415-020-10247-1","article-title":"Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension","volume":"267","author":"M. Ueberschaer","year":"2020","journal-title":"J Neurol"},{"issue":"7","key":"ref38","doi-asserted-by":"publisher","first-page":"e19037","DOI":"10.1097\/md.0000000000019037","article-title":"Traumatic intradural ruptured lumbar disc with a spinal compression fracture: A case report","volume":"99","author":"G. Lee","year":"2020","journal-title":"Medicine (Baltimore)"},{"issue":"14","key":"ref39","doi-asserted-by":"publisher","DOI":"10.3171\/case22552","article-title":"Upper lumbar spine far lateral disc herniations masquerading as peripheral nerve sheath tumors: illustrative cases","volume":"5","author":"B. R. Uy","year":"2023","journal-title":"J Neurosurg Case Lessons"},{"issue":"2","key":"ref40","first-page":"134","article-title":"Intradural herniation of intervertebral disc at the level of Lumbar 1-Lumbar 2","volume":"17","author":"A. Ozt\u00fcrk","year":"2007","journal-title":"Turk Neurosurg"},{"issue":"4","key":"ref41","doi-asserted-by":"publisher","first-page":"1033","DOI":"10.4103\/ajns.AJNS_55_17","article-title":"Intradural Disc a Diagnostic Dilemma: Case Series and Review of Literature","volume":"13","author":"A. Sharma","year":"2018","journal-title":"Asian J Neurosurg"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/161805-percutaneous-endoscopic-discectomy-and-dural-repair-for-l3-l4-intradural-lumbar-disc-herniation-presenting-with-cauda-equina-syndrome-a-case-report-w","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T16:47:12Z","timestamp":1779468432000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/161805-percutaneous-endoscopic-discectomy-and-dural-repair-for-l3-l4-intradural-lumbar-disc-herniation-presenting-with-cauda-equina-syndrome-a-case-report-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,22]]},"references-count":41,"URL":"https:\/\/doi.org\/10.52965\/001c.161805","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,22]]}}}