LUMBAR DISC SEQUESTRATION ON TWO LEVELS MIMICKING A EXTRADURAL TUMOR - CASE REPORT

Mihail Taushanov; Blagoj Shuntov; Konstantin Mitev; Ilina Gadjevska Tomulevska; Tamara Pejovska

Mihail Taushanov Department of neurosurgery, PZU Zan Mitrev Clinic ,Skopje, North Macedonia
Blagoj Shuntov Department of surgery, PZU Zan Mitrev Clinic , Skopje, North Macedonia
Konstantin Mitev Department of traumatology, PZU Zan Mitrev Clinic ,Skopje, North Macedonia
Ilina Gadjevska Tomulevska Department of surgery, PZU Zan Mitrev Clinic ,Skopje, North Macedonia
Tamara Pejovska Resident at Clinic for Plastic and Reconstructive Surgery in Skopje, North Macedonia

Abstract

Sequestered intervertebral disc herniation represents an advanced and severe form of disc pathology in which a fragment of the nucleus pulposus becomes completely separated from the parent intervertebral disc and migrates into the spinal canal. This condition can lead to significant compression of neural structures, resulting in acute back pain, radiculopathy, sensory deficits, and motor weakness. Magnetic resonance imaging (MRI) is the diagnostic modality of choice, enabling precise localization of the sequestered fragment and assessment of its relationship to adjacent neural elements. Treatment approaches vary depending on symptom severity and neurological involvement, ranging from conservative management to surgical intervention, particularly in cases of progressive neurological deterioration or intractable pain.

Keywords: disc herniation, spinal canal, MRI.

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