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Spontaneous thoracic spinal cord herniation. A case report

P Sioutos1, E Arbit, P Tsairis

  • 1Neurosurgery Service, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.

Spine
|July 15, 1996
PubMed
Summary

Spinal cord herniation, a rare cause of myelopathy, can be diagnosed and surgically treated. This case report highlights successful microsurgical intervention for idiopathic thoracic spinal cord herniation.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Neurology

Background:

  • Spinal cord herniation is a rare condition causing myelopathy.
  • Idiopathic thoracic spinal cord herniation can present with spastic paraparesis.
  • Diagnosis can be challenging, often requiring reoperation.

Observation:

  • A 34-year-old woman presented with spastic paraparesis and thoracic spinal cord abnormalities on MRI.
  • Initial surgery for an arachnoid cyst did not resolve symptoms.
  • Reoperation revealed and corrected a thoracic spinal cord hernia.

Findings:

  • The patient had idiopathic thoracic spinal cord herniation, likely due to a congenital dural defect.
  • A pseudoarachnoid cyst formed dorsally to the herniation.
  • Intradural reduction of the hernia and dural defect closure led to patient improvement.

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Implications:

  • Spontaneous spinal cord herniation should be considered in cases of progressive myelopathy.
  • Early diagnosis and surgical correction can lead to favorable outcomes.
  • Microsurgical techniques are effective for managing spinal cord herniation.