Erschienen in:
25.05.2016 | Case Report - Spine
Surgical management of thoracic idiopathic spinal cord herniation. Technical case report and review
verfasst von:
Michael Payer, Dominik Zumsteg, Nicolas De Tribolet, Stephan Wetzel
Erschienen in:
Acta Neurochirurgica
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Ausgabe 8/2016
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Abstract
Idiopathic spinal cord herniation (ISCH) is a rare spinal disease, in which chronic cerebrospinal fluid pulsations push the arachnoid and adjacent thoracic spinal cord region through an antero-lateral dural defect of congenital, post-traumatic, or inflammatory/erosive origin. Symptomatic patients commonly present around the 5th decade of life with slowly progressive myelopathy. Diagnosis relies on high-resolution magnetic resonance imaging. Stable mild cases may be observed, whereas in progressive symptomatic situations, surgical spinal cord reposition and dural defect repair with a dural patch is the preferred treatment. We present a case of ISCH at T5/6 and a review the literature.