Spontaneous thoracic spinal cord herniation. A case report
| Autor: | Peter Tsairis, Ehud Arbit, Panayiotis Sioutos, Ruth Gargan |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
medicine.medical_specialty Cord Hernia Dura mater Spinal Cord Diseases Thoracic Vertebrae Myelopathy Arachnoid cyst Brown-Sequard Syndrome medicine Humans Orthopedics and Sports Medicine Cyst Herniorrhaphy business.industry medicine.disease Spinal cord Magnetic Resonance Imaging Surgery medicine.anatomical_structure Spinal Cord Thoracic vertebrae Female Neurology (clinical) Dura Mater business |
| Zdroj: | Spine. 21(14) |
| ISSN: | 0362-2436 |
| Popis: | Study Design This is a case report. Objective To focus attention on spontaneous spinal cord herniation as a rare cause of myelopathy that can be diagnosed preoperatively and can be corrected surgically. Summary of Background Data A 34-year-old woman presented with spastic paraparesis. Magnetic resonance imaging scan of the thoracic spine revealed anterior displacement and tethering of the cord at T6-T7 and a dorsal intradural arachnoid cyst. Excision of the cyst was performed without improvement in symptomatology. During reoperation the thoracic spinal cord hernia was discovered and was reduced intradurally. Methods The authors describe the clinical, radiographic, and surgical findings of this patient and review the findings from other reported cases. They discuss the proposed theories for the pathophysiology of the cord herniation and the surgical management. Results The patient had idiopathic thoracic spinal cord herniation as there was no history of previous spine surgery or injury. The authors believe that the cord herniated through a congenital dural defect, which resulted in the development of a pseudoarachnoid cyst dorsally to the hernia. The patient improved after intradural reduction of the hernia and closure of the dural defect. Conclusion Idiopathic spinal cord herniation should be recognized as a cause of progressive myelopathy that can be managed successfully with microsurgical techniques. |
| Databáze: | OpenAIRE |
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