Regular ArticleIdiopathic spinal cord herniation
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Cited by (28)
Idiopathic ventral thoracic spinal cord herniation – A case report and literature review
2021, Interdisciplinary Neurosurgery: Advanced Techniques and Case ManagementCitation Excerpt :The authors of this paper term this “thoracic anterior spinal cord adhesion syndrome” and consider this the precursor to the development of a dural defect and spinal cord herniation [13]. Other theories that have attempted to explain the pathophysiology include a congenital dural deficiency, post-traumatic dural injury, pressure erosion of the dura from osteophytes and/or herniated thoracic discs, and ventral dural duplication [4,9,14]. Reasons proposed in another paper, to explain the high incidence of the disease in the upper thoracic spine, are thoracic kyphosis, the natural position of the spinal cord which is anterior in the upper thoracic spine, the physiological anterior movement of the thoracic spinal cord secondary to cardiac pulsations, and the influence of flexion and extension [11].
Idiopathic thoracic spinal cord herniation
2018, Journal of Clinical NeuroscienceCitation Excerpt :Thin-cut sequences can also be done in areas of interest, to rule out the presence of lesions dorsal to the cord. It is an excellent modality in the diagnosis of SCH, revealing absence of CSF ventral to dura and an expanded dorsal subarachnoid space [3,27,58,69,73,78]. Not infrequently, cord atrophy and/or signal change may be appreciated and the cord herniation may protrude quite significantly [50].
Idiopathic transdural spinal cord herniation
2016, Spine JournalAn unusual case of Brown-Sequard syndrome
2014, Journal of Clinical NeuroscienceThoracic cord herniation through a dural defect: description of a case and review of the literature
2009, Surgical NeurologyCitation Excerpt :We chose to repair our patient's dural defect with a pericardial dural sling that was slipped anterior to the cord and stitched at the edges with 5-0 prolene sutures with minimal cord manipulation. Other mechanisms of repair include reduction of the herniated cord and enlargement of the defect (to prevent retethering) [1,27,44,45], resection of the inner duplicated layer of dura in patients with duplication [23,30], wrapping the spinal cord with a graft postreduction [3], and transthoracic suture repair of the dura [9]. Postoperatively, our patient's strength, gait, and sensation returned to normal immediately.
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Correspondence to: Dr Andrew Morokoff, Department of Neurosurgery, Royal Melbourne Hospital, Parkville 3050, Victoria, Australia. Tel.: 61 3 9342 7000; Fax: 61 3 9347 8332.