Lumbar Disc Herniation with End-Plate Fracture and Secondary Ossification Mimicking an Epidural Tumor: A Case Report

• 作者: Akira Hioki Katsuji Shimizu Kazunari Fushimi Kei Miyamoto Koun Yamauchi
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: Disc HERNIATION EXTENSIVE Ossifications END-PLATE FRACTURES
• 年，卷（期）: 2013,（2）
• 页码范围: 102-105
• 页数: 4页
• 分类号: R73

摘要

We report a unique case of lumbar disc herniation, in particular, with end-plate and surrounded by extensive ossification, mimicking a tumor with calcification. A 69-year-old female suffered from right buttock and leg pain. Computed tomography (CT) showed an intracanalar mass with calcification or ossification, which most likely originated from the vertebral body at the L1/2 level epidural space. On a T1-weighted gadolinium magnetic resonance image, the capsule of the mass was enhanced and not only the content of the mass but also that of the L2 vertebral body were partially and slightly enhanced. The final pathological diagnosis was disc herniation with end-plate fracture and secondary ossification. A combination of these pathological conditions as accompanied by both end-plate fractures and extensive secondary ossifications has not been previously reported. This rare pathological condition needs to be recognized as a differential diagnosis.