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Spinal cord herniation after brachial plexus injury
Sven Bamps1, Eric Put2, Peter Soors3
1Department of Neurosurgery, University Hospital Leuven, Belgium.
Surgical Neurology International
|February 7, 2018
Summary
Spinal cord herniation (SCH) can occur years after brachial plexus injury. Surgical repair using Batzdorf
Area of Science:
- Neurosurgery
- Spinal Surgery
- Neurology
Background:
- Spinal cord herniation (SCH) is a rare cause of myelopathy, often idiopathic.
- Trauma, particularly brachial plexus injury, is an uncommon etiology for SCH.
- Delayed neurological deterioration can occur following such injuries.
Observation:
- A 27-year-old male with a history of brachial plexus injury and nerve root avulsions developed worsening neurological deficits 6-7 years post-injury.
- MRI revealed a left-sided SCH at C7.
- Surgical exploration identified a pseudomeningocele and focal SCH at C6-C7.
Findings:
- The spinal cord herniation was successfully reduced intradurally.
- A dural defect was repaired using a Neuropatch membrane, following Batzdorf's technique.
- Postoperative improvement in neurological symptoms was observed.
Implications:
- Surgical intervention is indicated for spinal cord herniation causing progressive myelopathy.
- Batzdorf's technique offers a viable method for repairing dural defects and reducing SCH.
- Early recognition and surgical management can improve outcomes in delayed SCH cases.
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