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European Spine Journal

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01-05-2017 | Case Report

Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner’s syndrome: lesson learned from a very unique case

Authors: Irene Baudracco, Gordan Grahovac, Vittorio M. Russo

Published in: European Spine Journal | Special Issue 1/2017

Abstract

Purpose

Cervical spontaneous intradural disc herniation (IDH) is an extremely rare condition. We describe a unique case of a patient presenting with a Brown-Séquard syndrome (BSS) and Horner’s syndrome (HS). This study aimed to report an unusual case of spontaneous cervical intradural disc herniation that presented with Horner’s and Brown-Séquard syndrome (BSS) and discuss difficulties in preoperative diagnosis and treatment difficulties of intradural cervical disc.

Methods

Notes and images review, and analysis of the relevant literature.

Results

A 45-year old female presented with acute Horner’s syndrome and Brown-Séquard syndrome. The magnetic resonance imaging of cervical spine revealed C4-5 disc extrusion with cord compression. The patient underwent urgent decompression through an anterior cervical corpectomy and fusion. Patient fully recovered 6 months after disease onset.

Conclusion

We would like to emphasize that prompt and anterior cervical decompression is the treatment of choice, as it directly address the problem and allows dura repair in spontaneous cervical disc herniation.

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Title: Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner’s syndrome: lesson learned from a very unique case
Authors: Irene Baudracco
Gordan Grahovac
Vittorio M. Russo
Publication date: 01-05-2017
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 1/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5044-4

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Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner’s syndrome: lesson learned from a very unique case

Abstract

Purpose

Methods

Results

Conclusion

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Abstract

Purpose

Methods

Results

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