Síndrome da redundância das raízes lombares: relato de um caso

Lynch, José Carlos; Manso, Fernando Borer; Bisagla Filho, Odone

doi:10.1590/S0004-282X1985000200013

Resumos

Um homem de 64 anos apresentava dor ciática crônica. A mielografia revelou compressão extradural e tortuosidade das raízes lombares. Foi verificado tratar-se da síndrome da redundância das raízes lombares. Laminectomia e facetectomia foram realizadas com acentuada melhora dos sintomas no pós-operatório.

The redundant nerve roots syndrome is the association of high grade extradural lumbar spinal block with a tortuous elongated nerve roots depicted as multiple serpentiginous filling defects on myelography. A case of a 64-years-old man is presented. Laminectomy and facetectomy were done with great improvement of the symptoms. A discussion of this syndrome is presented.

Síndrome da redundância das raízes lombares: relato de um caso

Redundant lumbar nerve roots syndrome: a case report

José Carlos Lynch^I; Fernando Borer Manso^II; Odone Bisagla Filho^II

^IChefe do Serviço. Serviço de Neurocirurgia do Hospital Cardoso Fontes. INAMPS, Rio de Janeiro

^IIMédico Assistente. Serviço de Neurocirurgia do Hospital Cardoso Fontes. INAMPS, Rio de Janeiro

RESUMO

Um homem de 64 anos apresentava dor ciática crônica. A mielografia revelou compressão extradural e tortuosidade das raízes lombares. Foi verificado tratar-se da síndrome da redundância das raízes lombares. Laminectomia e facetectomia foram realizadas com acentuada melhora dos sintomas no pós-operatório.

SUMMARY

The redundant nerve roots syndrome is the association of high grade extradural lumbar spinal block with a tortuous elongated nerve roots depicted as multiple serpentiginous filling defects on myelography. A case of a 64-years-old man is presented. Laminectomy and facetectomy were done with great improvement of the symptoms. A discussion of this syndrome is presented.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Trabalho realizado no Serviço de Neurocirurgia do Hospital Cardoso Fontes. INAMPS, Rio de Janeiro.

Centro Profissional Jardim Botânico - Rua Jardim Botânico, 100, sala 318 - 22461, Rio de Janeiro, RJ - Brasil.

1. ANDERMANN, F.; LLOYD SMITH, D.; MAVOR, H. & MATHIESON, G. - Observations on hypertrophic neuropathy of Déjerine and Sottas. Neurology 12:712, 1962.
2. CONQVIST, S. & THULIN, C.A. - Significance of tortuous filling defects at lumbar myelography. Acta Radiol. Diagn. 20:561, 1979.
3. CRESSMAN, M.R. & PAUL, R.P. - Serpentine myelography defect caused by a redundant nerve root: case report. J. Neurosurg. 28:391, 1968.
4. DUNCAN, A.W. & KIDO, D.K. - Serpentine cauda equina nerve roots. Radiology 139:109, 1981.
5. EHNY, G.; MOIEL, R.H. & BRAGG, T.G. - The «redundant» or «knotted» nerve root: a clue to spondylotic cauda equina radiculopathy: case report. J. Neurosurg. 32:253, 1970.
6. FOX, J.L. - Redundant nerve roots in the cauda equina: case report. J. Neurosurg. 30:74, 1969.
7. GULATI, D.R. & ROUT, D. - Myelography block caused by redundant lumbar nerve root: case report J. Neurosurg. 38:504, 1973.
8. HACKER, D.A.; LATCHAW, R.E.; YOCK, D.H.; GHOSHARJURA, K. & GOLD, L.H.A. - Redundant lumbar nerve root syndrome: myelographic features. Radiology 143:457, 1982.
9. HINCK, V.C. & SACHDEV, N.S. - Myelographic findings in hypertrophic interstitial neuritis. Amer. J. Radiol. 95:947, 1965.
10. LOMBARDI, V. - Redundant nerve root of the cauda equina. A case report. Neurology 19:1223, 1969.
11. NAGUIB, M.G.; LATCHAW, R.F.; ERICKSON, D.L. & SELJESKOG, E.L. - Redundant nerve roots of the cauda equina. Neurosurgery 9:444, 1981.
12. PAU, A. & TURTAS, S. - Redundant nerve roots of the cauda equina: case report. Acta neurochir. (Wien) 33:311, 1976.
13. KONDO, A.; KOYAMA, T.; ISHIKAWA, J.; HANAKITA, J. & IWAKI, K. - Redundant nerve roots of the cauda equina. Acta neurochir. (Wien) 42:209, 1978.
14. RENGACHARY, S.S.; McGREGOR, D.H.; WATANABE, I.; ARJUNAN, K. & KEPES, J.J. - Pathological basis of «redundant nerve-root syndrome of the cauda equina». Neurosurgery 7:400, 1980.
15. RICHTER, H.P. - Similar myelographic patterns of different origins (spinal angioma and redundant nerve roots of the cauda equina). Acta Neurochir. (Wien) 54:283, 1980.
16. RIGSBY, C.M.; VIRAPONQSE, C. & DUNCAN, C. - Positional variability in redundant lumbar nerve-root syndrome. Surg. Neurol. 19:513, 1983.
17. SCHUT, L. & GROFF, R.A. - Redundant nerve roots as a cause of complete myelographic block: case report. J. Neurosurg. 28:394, 1968.
18. THULIN, C.A.; EDNER, G.; GODSTAD, H.; FODSTAD, H.; SALFORD, L. & SUENDGAAD, N.A. - Redundant nerve roots of the cauda equina. Acta, neurochir. (Wien) 41:115, 1978.

Datas de Publicação

Publicação nesta coleção
10 Ago 2012
Data do Fascículo
Jun 1985

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ANDERMANN, F.; LLOYD SMITH, D.; MAVOR, H. & MATHIESON, G. - Observations on hypertrophic neuropathy of Déjerine and Sottas. Neurology 12:712, 1962.

[2] 2. CONQVIST, S. & THULIN, C.A. - Significance of tortuous filling defects at lumbar myelography. Acta Radiol. Diagn. 20:561, 1979.

[3] 3. CRESSMAN, M.R. & PAUL, R.P. - Serpentine myelography defect caused by a redundant nerve root: case report. J. Neurosurg. 28:391, 1968.

[4] 4. DUNCAN, A.W. & KIDO, D.K. - Serpentine cauda equina nerve roots. Radiology 139:109, 1981.

[5] 5. EHNY, G.; MOIEL, R.H. & BRAGG, T.G. - The «redundant» or «knotted» nerve root: a clue to spondylotic cauda equina radiculopathy: case report. J. Neurosurg. 32:253, 1970.

[6] 6. FOX, J.L. - Redundant nerve roots in the cauda equina: case report. J. Neurosurg. 30:74, 1969.

[7] 7. GULATI, D.R. & ROUT, D. - Myelography block caused by redundant lumbar nerve root: case report J. Neurosurg. 38:504, 1973.

[8] 8. HACKER, D.A.; LATCHAW, R.E.; YOCK, D.H.; GHOSHARJURA, K. & GOLD, L.H.A. - Redundant lumbar nerve root syndrome: myelographic features. Radiology 143:457, 1982.

[9] 9. HINCK, V.C. & SACHDEV, N.S. - Myelographic findings in hypertrophic interstitial neuritis. Amer. J. Radiol. 95:947, 1965.

[10] 10. LOMBARDI, V. - Redundant nerve root of the cauda equina. A case report. Neurology 19:1223, 1969.

[11] 11. NAGUIB, M.G.; LATCHAW, R.F.; ERICKSON, D.L. & SELJESKOG, E.L. - Redundant nerve roots of the cauda equina. Neurosurgery 9:444, 1981.

[12] 12. PAU, A. & TURTAS, S. - Redundant nerve roots of the cauda equina: case report. Acta neurochir. (Wien) 33:311, 1976.

[13] 13. KONDO, A.; KOYAMA, T.; ISHIKAWA, J.; HANAKITA, J. & IWAKI, K. - Redundant nerve roots of the cauda equina. Acta neurochir. (Wien) 42:209, 1978.

[14] 14. RENGACHARY, S.S.; McGREGOR, D.H.; WATANABE, I.; ARJUNAN, K. & KEPES, J.J. - Pathological basis of «redundant nerve-root syndrome of the cauda equina». Neurosurgery 7:400, 1980.

[15] 15. RICHTER, H.P. - Similar myelographic patterns of different origins (spinal angioma and redundant nerve roots of the cauda equina). Acta Neurochir. (Wien) 54:283, 1980.

[16] 16. RIGSBY, C.M.; VIRAPONQSE, C. & DUNCAN, C. - Positional variability in redundant lumbar nerve-root syndrome. Surg. Neurol. 19:513, 1983.

[17] 17. SCHUT, L. & GROFF, R.A. - Redundant nerve roots as a cause of complete myelographic block: case report. J. Neurosurg. 28:394, 1968.

[18] 18. THULIN, C.A.; EDNER, G.; GODSTAD, H.; FODSTAD, H.; SALFORD, L. & SUENDGAAD, N.A. - Redundant nerve roots of the cauda equina. Acta, neurochir. (Wien) 41:115, 1978.