Disc herniation mimicking a lumbar intradural extramedullary tumor: case report

Authors

  • Alexander Sosa Frias Hospital Provincial ¨Carlos Manuel de Cespedes¨ Queen Hospital Medical Servíces Agencies https://orcid.org/0000-0001-5170-2916
  • Ismael Vargas Gallego Universidad Privada Domingo Savio, Cobija. Pando Bolivia

Abstract

SUMMARY

The differential diagnosis of a large extruded disc herniation poses a significant challenge for radiologists, as its shape, location, and appearance may mimic an intradural extramedullary tumor. This case involves a 50-year-old female patient who had been experiencing low back pain for several weeks, radiating to the right leg at the ankle, accompanied by cramps. Physical examination revealed positive Lasegue and Bragard signs, prompting a lumbosacral computed tomography and magnetic resonance imaging. The lesion was initially suspected to be an intradural extramedullary tumor; however, imaging findings were consistent with a large extruded disc herniation. The patient underwent surgery, and the diagnosis was confirmed through histopathological examination. Treatment was completed with rehabilitation, with favorable clinical outcome.

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Author Biographies

Alexander Sosa Frias, Hospital Provincial ¨Carlos Manuel de Cespedes¨ Queen Hospital Medical Servíces Agencies

Especialista de Segundo Grado en Imagenologia. Profesor Asistente. Hospital Provincial ¨Carlos Manuel de Cespedes¨.

Consultant Radiology. Radiology Department. Cuban Hospital.

Ismael Vargas Gallego, Universidad Privada Domingo Savio, Cobija. Pando Bolivia

Especialista en Radiología. Universidad Privada Domingo Savio, Cobija. Pando Bolivia. Profesor.

References

REFERENCIAS BIBLIOGRAFICAS

1. Chu EC, Lin A, Huang KHK, Cheung G, Lee WT. A Severe Disc Herniation Mimics Spinal Tumor. Cureus. 2023 Mar 22;15(3):e36545. doi: 10.7759/cureus.36545. PMID: 36968683; PMCID: PMC10033246.

2. Houssni JE, Bakkari AE, Adjou N, Jellal S, Omor Y, et al. Lumbar disk herniation mimicking a spinal tumor: A case report. J Clin Images Med Case Rep. 2024; 5(7): 3153.

3. Li ST, Zhang T, Shi XW, Liu H, Yang CW, Zhen P, Li SK. Lumbar disc sequestration mimicking a tumor: Report of four cases and a literature review. World J Clin Cases 2022; 10(9): 2883-2894 URL: https://www.wjgnet.com/2307-8960/full/v10/i9/2883.htm

4. Kızılay Z, Sağıroğlu S, Kahraman Çetin N, Çetiner M, Yaycıoğlu S. Sequestrated lumbar disc herniation mimicking intradural spinal tumor: A case report: Disc herniation mimicking intradural tumor. J Surg Med [Internet]. 2025 Mar. 30 [cited 2025 May 31];9(4):50-3. Available from: https://jsurgmed.com/article/view/7721

5. Chia-En Wong, MD, BS, Po-Hsuan Lee, MD, Chi-Chen Huang, Sequestrated lumbar disc herniation mimicking intradural spinal tumor: A case report . M. J Surg Med. 2025;9(4):50-53. Case report https://doi.org/10.28982/josam.7721

6. Avila, Mauricio J.1; Chua, Richard V.1,2,. Extraforaminal lumbar herniated disc mimicking foraminal tumor: Case report, literature review, and the role for minimally invasive approach for resection. Journal of Craniovertebral Junction and Spine 13(1):p 101-105, Jan–Mar 2022. | DOI: 10.4103/jcvjs.jcvjs_105_21

7. Andereggen Lukas, Anon Javier. Short-Term Resolution of Herniated Disk Mimicking Tumor. World Neurosurg. (2021) 152:29-30. https://doi.org/10.1016/j.wneu.2021.05.121

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Published

2025-12-18

How to Cite

1.
Sosa Frias A, Vargas Gallego I. Disc herniation mimicking a lumbar intradural extramedullary tumor: case report. Rev. electron. Zoilo [Internet]. 2025 Dec. 18 [cited 2026 Feb. 4];50(1). Available from: https://revzoilomarinello.sld.cu/index.php/zmv/article/view/3919

Issue

Vol. 50 (2025): Publicación continua

Section

Case reports

License

Copyright (c) 2025 Alexander Sosa Frias, Ismael Vargas Gallego

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