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Surgical Management of Idiopathic Thoracic Spinal Cord Herniation.

Abstract：

BACKGROUND:Idiopathic spinal cord herniation is a rare condition that involves spinal cord herniation through a defect in the ventral dura. CASE DESCRIPTION:We present a case of a 61-year-old woman who initially presented in 2016 with an approximately 1-year history of burning right lower extremity pain and gait instability. Her neurologic examination was consistent with thoracic Brown-Sequard syndrome, and spinal magnetic resonance imaging showed a focal defect in the ventral dura at the superior aspect of T4 with the left aspect of the cord herniating into the defect. In 2018, she underwent a T3-T4 laminectomy with T3 pedicle take down and medial facetectomy, with reduction of the herniated cord. CONCLUSIONS:Idiopathic spinal cord herniation is an uncommon spinal cord disorder with a paucity of data reported. Our case report of a classic case of idiopathic spinal cord herniation presenting as Brown-Sequard syndrome and managed surgically will contribute to the data in this field.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Neale N,Ramayya A,Welch W

doi

10.1016/j.wneu.2019.05.219

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

81-84

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(19)31496-2

journal_volume

129

pub_type

杂志文章

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