Acute posttraumatic spinal cord herniation. Case report and review of the literature.

Abstract:

:Transdural herniations of the spinal cord are rare, and those occurring acutely after a spinal cord injury (SCI) are particularly unusual. In this report, the authors present the case of acute posttraumatic spinal cord herniation in a patient who sustained severe polytraumatic injuries. The clinical manifestations were acute flaccid paralysis of the right leg and rapidly progressive sensorimotor deficits of the contralateral leg. The herniation was surgically reduced. Postoperatively left leg paralysis was completely resolved. The authors review the pertinent literature, and suggest that, with regard to another underlying pathophysiological mechanism, cases of acute posttraumatic spinal cord herniation should be differentiated from those "posttraumatic" cases in which herniation of the spinal cord occurs years or even decades after the traumatic event. To the best of the authors' knowledge, only one similar case has been previously reported. They conclude that acute posttraumatic spinal cord herniation should be included in the differential diagnosis of acute neurological deterioration after SCI.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Marquardt G,Weidauer S,Zanella FE,Seifert V

doi

10.3171/spi.2001.94.2.0316

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

316-8

issue

2 Suppl

eissn

0022-3085

issn

1933-0693

journal_volume

94

pub_type

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