Idiopathic Spinal Cord Herniation—Case Report
| Autor: | Vitor Viana Bonan de Aguiar, Romel Corecha Santos, Marco Rolando Sainz Quiroga, Ricardo de Amoreira Gepp, Henrique Caetano de Souza, Rogerio Cirineo Sacco |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Brown-Séquard syndrome brown-séquard syndrome lcsh:Surgery lcsh:Medicine Spinal Cord Diseases hernia surgery Myelopathy Cerebrospinal fluid medicine magnetic resonance imaging Hernia medicine.diagnostic_test business.industry lcsh:R myelography Magnetic resonance imaging lcsh:RD1-811 medicine.disease Spinal cord spinal cord diseases Surgery medicine.anatomical_structure Neurology (clinical) business Myelography |
| Zdroj: | Brazilian Neurosurgery, Vol 37, Iss 03, Pp 280-283 (2016) |
| ISSN: | 2359-5922 0103-5355 |
| DOI: | 10.1055/s-0036-1581084 |
| Popis: | Idiopathic spinal cord herniation is a rare cause of progressive myelopathy, especially in the absence of a history of spinal or surgical trauma. The radiological diagnosis is made through a myelography or an MRI exam. The spinal cord is pushed anteriorly, buffering the dural defect and leading in most cases to Brown-Séquard syndrome. The present study describes the case of a male patient with a clinical picture of progressive thoracic myelopathy. In the clinical and radiological investigation, an idiopathic spinal cord herniation on the chest level was identified. During the surgery, the spinal cord was reduced to the natural site, taking its usual elliptical shape, and the dural defect was repaired with a dural substitute. The numbness of the patient improved, and the shocks in the lower limbs disappeared. A postoperative MRI confirmed the surgical reduction of the herniation and the restoration of the anterior cerebrospinal fluid (CSF) column to the spinal cord. The authors describe the clinical, radiological, intraoperative, and postoperative evolution. |
| Databáze: | OpenAIRE |
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