Abstract
Symptomatic anterior or anterolateral dural herniation of the spinal cord is rare, and not uncommonly misdiagnosed, both clinically and radiologically. We present four patients with a radiological diagnosis of herniation of the thoracic spinal cord, and review the current literature. All affected patients have been adults, typically presenting with long-standing, unexplained sensory symptoms and eventually developing a Brown-Séquard syndrome, with or without motor changes. Herniation occurs in the upper or midthoracic region, between the T2 and T8 levels.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Adult
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Aged
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Animals
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Brown-Sequard Syndrome / diagnosis
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Brown-Sequard Syndrome / surgery
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Cattle
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Diskectomy
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Dura Mater / pathology*
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Dura Mater / surgery
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Female
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Follow-Up Studies
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Humans
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Intervertebral Disc Displacement / diagnosis*
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Intervertebral Disc Displacement / surgery
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Magnetic Resonance Imaging*
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Male
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Meningocele / diagnosis
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Meningocele / surgery
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Middle Aged
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Myelography*
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Neurologic Examination
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Paraparesis, Tropical Spastic / diagnosis
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Paraparesis, Tropical Spastic / surgery
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Postoperative Complications / diagnosis
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Spinal Cord / pathology
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Spinal Cord / surgery
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Spinal Cord Diseases / diagnosis*
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Spinal Cord Diseases / surgery
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Thoracic Vertebrae / pathology*
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Thoracic Vertebrae / surgery
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Treatment Outcome