[Spontaneous spinal cord herniation].

Published

Journal Article

Spontaneous spinal cord herniation through a dural defect is an unusual condition. This entity has been probably underestimated before the introduction of MRI. We report a case of a 49-year-old man with a progressive Brown-Sequard syndrome. MRI and CT myelogram showed a ventrally displaced spinal cord at level T6-T7 and expansion of the posterior subarachnoid space. Through a laminectomy, a spinal cord herniation was identified and reduced. The anterior dural defect was repaired with a patch of lyophilized dura. The patient recovered muscle power but there was no improvement of the sensory disturbance. The diagnosis of spontaneous spinal cord herniation must be considered when progressive myelopathy occurs in middle-aged patients, without signs of spinal cord compression and typical radiological findings. Surgical treatment may halt the progressive deficits and even yield improvement in many cases.

Full Text

Duke Authors

Cited Authors

  • Rivas, JJ; de la Lama, A; Gonza Lez, P; Ramos, A; Zurdo, M; Alday, R

Published Date

  • October 2004

Published In

Volume / Issue

  • 15 / 5

Start / End Page

  • 484 - 489

PubMed ID

  • 15558208

Pubmed Central ID

  • 15558208

International Standard Serial Number (ISSN)

  • 1130-1473

Language

  • spa

Conference Location

  • Spain