Spontaneous spinal cord herniation: case report and review of the literature.

Abstract:

OBJECTIVE AND IMPORTANCE:Spontaneous herniation of the spinal cord substance through a previously uninjured and/or untouched dura is a very exceptional occurrence. Spontaneous spinal cord herniation, which was first reported 25 years ago, is a cause of myelopathy that is treatable but difficult to diagnose. CLINICAL PRESENTATION:A 49-year-old female patient who presented with a 3-year history of a burning sensation and hyperesthesia in her right leg and a 3-month history of left leg stiffness was diagnosed as exhibiting signs of Brown-Séquard syndrome. Magnetic resonance imaging of the thoracic spinal canal demonstrated S-shaped anterior kinking and transdural herniation of the spinal cord at the T3-T4 levels. INTERVENTION:The patient underwent surgery via a three-level laminectomy. The herniated part of the spinal cord was microsurgically reduced, and the dural defect was repaired with Gore-Tex membrane (WL Gore & Associates, Flagstaff, AZ). The outcome of surgery was excellent. CONCLUSION:Review of the world literature revealed 29 reported cases, with 27 of these cases being published since 1990. The clinical features, radiological diagnosis, and treatment options for this unique entity are summarized, with a synopsis of numerous misconceptions that appeared in the literature. With more familiarity with and increased awareness of this entity, more cases will be diagnosed.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Tekkök IH

doi

10.1097/00006123-200002000-00044

keywords:

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

485-91; discussion 491-2

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

46

pub_type

杂志文章,评审
  • The abducted arm as a sign of ruptured cervical disc.

    abstract::A helpful clinical sign of ruptured cervical disc is pain relief upon arm abduction. When the disease process is spondylosis with foraminal stenosis, changing arm position does not relieve pain. Anatomical considerations are discussed. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198711000-00024

    authors: Beatty RM,Fowler FD,Hanson EJ Jr

    更新日期:1987-11-01 00:00:00

  • The association between weather and spontaneous subarachnoid hemorrhage: an analysis of 155 US hospitals.

    abstract:BACKGROUND:A seasonal and meteorological influence on the incidence of spontaneous subarachnoid hemorrhage (SAH) has been suggested, but a consensus in the literature has yet to emerge. OBJECTIVE:This study examines the impact of weather patterns on the incidence of SAH using a geographically broad analysis of hospita...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3181fe23a1

    authors: Cowperthwaite MC,Burnett MG

    更新日期:2011-01-01 00:00:00

  • Neonatal ventriculosubgaleal shunts.

    abstract:OBJECTIVE:We report on 32 neonates treated with ventriculosubgaleal (VSG) shunts to determine VSG shunt survival and associated complications. METHODS:Between 1993 and 1997, 37 VSG shunts were placed in 32 neonates when the cerebrospinal fluid (CSF) or the abdomen was considered unsuitable for ventriculoperitoneal shu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200007000-00018

    authors: Fulmer BB,Grabb PA,Oakes WJ,Mapstone TB

    更新日期:2000-07-01 00:00:00

  • Bilateral ethmoidal dural arteriovenous fistulae: a previously unreported entity: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Ethmoidal dural arteriovenous fistulas (AVFs) are rare intracranial lesions associated with a high risk of intracranial hemorrhage. Reported hemorrhage rates have ranged from 62 to 91%, and an aggressive clinical course is more likely than a benign clinical course. We describe the first case of...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neurosurgery/57.4.e809

    authors: Deshmukh VR,Chang S,Albuquerque FC,McDougall CG,Spetzler RF

    更新日期:2005-10-01 00:00:00

  • Subsidence of stand-alone cervical carbon fiber cages.

    abstract:OBJECTIVE:To investigate the number of subsidences of inserted cervical carbon fiber cages and to define predictive factors for subsidence. METHODS:All patients treated for a cervical herniated disc and fusion with a cervical carbon fiber cage between January 2002 and December 2003 were retrospectively identified. The...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000197258.30821.50

    authors: Bartels RH,Donk RD,Feuth T

    更新日期:2006-03-01 00:00:00

  • Impact of myelography on the radiotherapeutic management of malignant spinal cord compression.

    abstract::From December 1981 through August 1984, 24 patients with spinal cord compression syndrome due to epidural neoplasms were evaluated for radiotherapy with clinical examination, radiographs of the spine, and myelography. All plain films were reviewed, and mock radiotherapy fields designed using specific criteria for marg...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198610000-00018

    authors: Calkins AR,Olson MA,Ellis JH

    更新日期:1986-10-01 00:00:00

  • A patient with a resistant major depression disorder treated with deep brain stimulation in the inferior thalamic peduncle.

    abstract:OBJECTIVE AND IMPORTANCE:The present report explored the effect of electrical stimulation on the inferior thalamic peduncle in a patient with resistant major depression disorder (MDD). CLINICAL PRESENTATION:This report refers to a 49-year-old woman with a history of recurrent episodes of major depression for 20 years ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000170434.44335.19

    authors: Jiménez F,Velasco F,Salin-Pascual R,Hernández JA,Velasco M,Criales JL,Nicolini H

    更新日期:2005-09-01 00:00:00

  • Usefulness of cordotomy in patients with cancer who experience bilateral pain: implications of increased pain and new pain.

    abstract:BACKGROUND:Although mirror pain occurs after cordotomy in patients experiencing unilateral pain via a referred pain mechanism, no studies have examined whether this pain mechanism operates in patients who have bilateral pain. OBJECTIVE:To assess the usefulness of cordotomy for bilateral pain from the viewpoint of incr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000593

    authors: Higaki N,Yorozuya T,Nagaro T,Tsubota S,Fujii T,Fukunaga T,Moriyama M,Yoshikawa T

    更新日期:2015-03-01 00:00:00

  • De novo aneurysm: case reports and literature review.

    abstract:BACKGROUND AND IMPORTANCE:Formation of cerebral de novo aneurysms (CDNAs) is rare, and the pathogenesis remains obscure. We analyzed factors involved in formation of CDNAs and suggest guidelines for follow-up of patients. CLINICAL PRESENTATION:We retrospectively reviewed intracranial aneurysms at our institute and pub...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182196489

    authors: Rahmah NN,Horiuchi T,Kusano Y,Sasaki T,Hongo K

    更新日期:2011-09-01 00:00:00

  • Regeneration of the rat carotid artery after clipping injury. Part II. A pharmacological study.

    abstract::This study investigated the natural course of functional recovery of the vascular endothelium and smooth muscle after clipping injury of the rat carotid artery. Vascular injury was induced by clipping the right carotid arteries of Wistar rats. The contractile response to KCl, serotonin (5-hydroxytryptamine), and norep...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Tsukahara T,Yonekawa Y,Yamamoto M,Kaku Y,Ogata N,Taniguchi T

    更新日期:1993-01-01 00:00:00

  • Validation of a new technique for measurement of intracranial pressure with a scintillation counter.

    abstract::Intracranial pressure sensors and subdural and subgaleal sensing tambours were used to measure the pressure difference between the intracranial and subgaleal spaces in two monkeys. The pressure differential was transmitted to fluid bathing a piston, to which an isotope source (145Pm) was attached. The radiation signal...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197801000-00007

    authors: Meyer GA,Millis RM,Budzinski J

    更新日期:1978-01-01 00:00:00

  • Benign hemangioendothelioma involving the central nervous system: "strawberry nevus" of the neuraxis.

    abstract::Benign hemangioendothelioma is rarely included in discussions of vascular neoplasms involving the central nervous system, whereas it is a well-defined entity outside the neuraxis. We present four cases of benign hemangioendothelioma, including an infantile hemangioendothelioma with venous drainage into the transverse ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198009000-00008

    authors: Pearl GS,Takei Y,Tindall GT,O'Brien MS,Payne NS,Hoffman JC

    更新日期:1980-09-01 00:00:00

  • Microsurgery of the fourth ventricle: Part 1. Microsurgical anatomy.

    abstract::Operations on the 4th ventricle offer the potential for injury of the brain stem, cerebellum, cranial nerves, and major cerebellar arteries and veins. Twenty-five cadaver brains were examined using 3x to 25x magnification to define the relationship of these vital structures to the 4th ventricle. The 4th ventricle has ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198211000-00008

    authors: Matsushima T,Rhoton AL Jr,Lenkey C

    更新日期:1982-11-01 00:00:00

  • An alternative ultrasonographic approach to assess basilar artery flow.

    abstract:BACKGROUND:Assessment of basilar artery blood flow is of interest in many neurosurgical situations. With use of ultrasonography, the standard posterior approach is difficult in neurointensive care. OBJECTIVE:To evaluate the accuracy of an alternative submandibular approach for the assessment of blood flow in the basil...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182124835

    authors: Geeraerts T,Thome W,Tanaka S,Leblanc PE,Duranteau J,Vigué B

    更新日期:2011-06-01 00:00:00

  • Traumatic indirect carotid-cavernous fistula: report of two cases.

    abstract:UNLABELLED:OBJECTIVE AND CLINICAL IMPORTANCE: We present two cases of post-traumatic indirect carotid-cavernous fistulas. Trauma produces the direct type of carotid-cavernous fistula in almost all cases, and recognition that trauma may induce the indirect type has been rarely reported. CLINICAL PRESENTATION:Both patie...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199612000-00033

    authors: Jacobson BE,Nesbit GM,Ahuja A,Barnwell SL

    更新日期:1996-12-01 00:00:00

  • The time course of myosin light-chain phosphorylation in blood-induced vasospasm.

    abstract::The phosphorylation of an M(r) 20,000 myosin light chain (MLC20) promotes the generation of contractile force through actin-myosin adenosine triphosphatase in most agonist-mediated vascular smooth muscle cell contraction. However, the role of calcium-mediated contractile processes in sustained arterial narrowing after...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199506000-00018

    authors: Harada T,Seto M,Sasaki Y,London S,Luo Z,Mayberg M

    更新日期:1995-06-01 00:00:00

  • Bypass coaptation for cervical root avulsion: indications for optimal outcome.

    abstract:OBJECTIVE:Previously, we reported bypass coaptation of the C3 and C4 anterior rami to the upper trunk of the brachial plexus for restoration of the muscles denervated as a result of C5 and C6 nerve root avulsion. This procedure is thought to be superior to the transfer of individual peripheral nerve fibers to the brach...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000358615.92344.D1

    authors: Yamada S,Lonser RR,Colohan AR,Yamada SM,Won DJ

    更新日期:2009-10-01 00:00:00

  • The prospective natural history of cerebral venous malformations.

    abstract:OBJECTIVE:A 10-year prospective clinical and magnetic resonance imaging study was undertaken to determine the natural history of venous malformations. We assessed the hemorrhage rate and morbidity associated with venous malformations of the brain. PATIENTS AND METHODS:From 1986 to 1996, 80 patients with venous malform...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199808000-00001

    authors: McLaughlin MR,Kondziolka D,Flickinger JC,Lunsford S,Lunsford LD

    更新日期:1998-08-01 00:00:00

  • Enhancement of neurogenesis and memory by a neurotrophic peptide in mild to moderate traumatic brain injury.

    abstract:BACKGROUND:Traumatic brain injury (TBI) is a risk factor for Alzheimer disease (AD), a neurocognitive disorder with similar cellular abnormalities. We recently discovered a small molecule (Peptide 6) corresponding to an active region of human ciliary neurotrophic factor, with neurogenic and neurotrophic properties in m...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000577

    authors: Chohan MO,Bragina O,Kazim SF,Statom G,Baazaoui N,Bragin D,Iqbal K,Nemoto E,Yonas H

    更新日期:2015-02-01 00:00:00

  • Biomechanical comparison of posterior lumbar interbody fusion and transforaminal lumbar interbody fusion by finite element analysis.

    abstract:BACKGROUND:The transforaminal lumbar interbody fusion (TLIF) procedure may reduce many of the risks and limitations associated with posterior lumbar interbody fusion (PLIF). However, little is known about the biomechanical difference between PLIF and TLIF. OBJECTIVE:To determine the biomechanical difference between PL...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e3182742a69

    authors: Xu H,Tang H,Guan X,Jiang F,Xu N,Ju W,Zhu X,Zhang X,Zhang Q,Li M

    更新日期:2013-03-01 00:00:00

  • Length of Stay Beyond Medical Readiness in a Neurosurgical Patient Population and Associated Healthcare Costs.

    abstract:BACKGROUND:Length of stay beyond medical readiness (LOS-BMR) leads to increased expenses and higher morbidity related to hospital-acquired conditions. OBJECTIVE:To determine the proportion of admitted neurosurgical patients who have LOS-BMR and associated risk factors and costs. METHODS:We performed a prospective, co...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa535

    authors: Linzey JR,Foshee R,Moriguchi F,Adapa AR,Koduri S,Kahn EN,Williamson CA,Sheehan K,Rajajee V,Thompson BG,Muraszko KM,Pandey AS

    更新日期:2020-12-28 00:00:00

  • Concussion in professional football: recovery of NFL and high school athletes assessed by computerized neuropsychological testing--Part 12.

    abstract:OBJECTIVE:Acute recovery from concussion (mild traumatic brain injury) is assessed in samples of NFL and high school athletes evaluated within days of injury. METHODS:All athletes were evaluated within days of injury using a computer-based neuropsychological test and symptom inventory protocol. Test performance was co...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000200272.56192.62

    authors: Pellman EJ,Lovell MR,Viano DC,Casson IR

    更新日期:2006-02-01 00:00:00

  • Treatment of subaxial cervical spinal injuries.

    abstract:UNLABELLED:SUBAXIAL CERVICAL FACET DISLOCATION INJURIES: STANDARDS:There is insufficient evidence to recommend treatment standards. GUIDELINES:There is insufficient evidence to recommend treatment guidelines. OPTIONS:Closed or open reduction of subaxial cervical facet dislocation injuries is recommended. Treatment o...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-200203001-00024

    authors: Hadley MN,Walters BC,Grabb PA,Oyesiku NM,Przybylski GJ,Resnick DK,Ryken TC

    更新日期:2002-03-01 00:00:00

  • Hydrocephalus-induced changes in the composition of cerebrospinal fluid.

    abstract::Studies reporting the composition of cerebrospinal fluid obtained from hydrocephalic humans have been critically reviewed. Hydrocephalus-induced alterations in the cerebrospinal fluid concentrations of neurotransmitters and peptide neuromodulators, products of glycolysis and nucleotide metabolism, neural cell-derived ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-198909000-00016

    authors: Del Bigio MR

    更新日期:1989-09-01 00:00:00

  • Meningiomas of the internal auditory canal.

    abstract:OBJECTIVE:Meningiomas arising primarily within the internal auditory canal (IAC) are notably rare. By far the most common tumors that are encountered in this region are neuromas. We report a series of eight patients with meningiomas of the IAC, analyzing the clinical presentations, surgical management strategies, and c...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000126887.55995.e7

    authors: Nakamura M,Roser F,Mirzai S,Matthies C,Vorkapic P,Samii M

    更新日期:2004-07-01 00:00:00

  • Randomized trials of neurosurgical interventions: a systematic appraisal.

    abstract:OBJECTIVE:To systematically appraise the study design and quality of reporting of randomized controlled trials (RCTs) on neurosurgical procedures and to identify potential defects and biases. METHODS:Randomized controlled trials with at least five patients comparing any neurosurgical procedure against another procedur...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000126873.00845.a7

    authors: Vranos G,Tatsioni A,Polyzoidis K,Ioannidis JP

    更新日期:2004-07-01 00:00:00

  • Solitaire Flow Restoration thrombectomy for acute ischemic stroke: retrospective multicenter analysis of early postmarket experience after FDA approval.

    abstract:BACKGROUND:The promising results of the Solitaire Flow Restoration (FR) With the Intention for Thrombectomy (SWIFT) trial recently led to Food and Drug Administration (FDA) approval of the Solitaire FR stent retriever device for recanalization of cerebral vessels in patients with acute ischemic stroke. OBJECTIVE:To re...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.neu.0000429859.96652.57

    authors: Mokin M,Dumont TM,Veznedaroglu E,Binning MJ,Liebman KM,Fessler RD 2nd,To CY,Turner RD 4th,Turk AS,Chaudry MI,Arthur AS,Fox BD,Hanel RA,Tawk RG,Kan P,Gaughen JR Jr,Lanzino G,Lopes DK,Chen M,Moftakhar R,Billingsley

    更新日期:2013-07-01 00:00:00

  • Subdural patch graft technique for watertight closure of large dural defects in extended transsphenoidal surgery.

    abstract:OBJECTIVE:The most common postoperative complication of the transsphenoidal approach is cerebrospinal fluid (CSF) rhinorrhea. If the dura is widely opened beyond the sellar floor and massive intraoperative CSF leakage is encountered, then the conventional packing method, in which the sella turcica is filled with pieces...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000108780.72365.dc

    authors: Kitano M,Taneda M

    更新日期:2004-03-01 00:00:00

  • Endoscopic third ventriculostomy in pediatric patients: the Canadian experience.

    abstract:OBJECTIVE:Reports from relatively small series of pediatric patients predominantly from single centers have hampered accurate analysis of outcome from endoscopic third ventriculostomy. We combined patients from nine pediatric neurosurgery centers across Canada to obtain a better estimate of outcome and identify factors...

    journal_title:Neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.1227/01.NEU.0000255420.78431.E7

    authors: Drake JM,Canadian Pediatric Neurosurgery Study Group.

    更新日期:2007-05-01 00:00:00

  • The Role of Extent of Resection in IDH1 Wild-Type or Mutant Low-Grade Gliomas.

    abstract:BACKGROUND:Maximizing extent of resection (EOR) improves outcomes in adults with World Health Organization (WHO) grade II low-grade gliomas (LGG). However, recent studies demonstrate that LGGs bearing a mutation in the isocitrate dehydrogenase 1 (IDH1) gene are a distinct molecular and clinical entity. It remains uncle...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx265

    authors: Patel T,Bander ED,Venn RA,Powell T,Cederquist GY,Schaefer PM,Puchi LA,Akhmerov A,Ogilvie S,Reiner AS,Moussazadeh N,Tabar V

    更新日期:2018-06-01 00:00:00