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Erschienen in: Acta Neurochirurgica 8/2016

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 | 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.
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Metadaten
Titel
Surgical management of thoracic idiopathic spinal cord herniation. Technical case report and review
verfasst von
Michael Payer
Dominik Zumsteg
Nicolas De Tribolet
Stephan Wetzel
Publikationsdatum
25.05.2016
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 8/2016
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2840-2

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