Anterior Cord Herniation - Surgical Video

背景:

• Anterior cord herniation involves ventral spinal cord displacement through dural defects.
• This rare condition can lead to slowly deteriorating neurological symptoms, often presenting as Brown-Séquard-like syndrome.
• Surgical intervention is considered for progressive neurological deficits, despite potential risks.

結論:

• Surgical exploration and repair can be effective for anterior cord herniation causing progressive neurological deficits.
• Intraoperative neurophysiological monitoring is crucial but its findings do not always predict the final outcome.
• This case underscores the possibility of significant recovery even after complete loss of MEP during surgery.