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Acta Neurochirurgica
Published in: Acta Neurochirurgica 8/2016

01-08-2016 | Case Report - Spine

Surgical management of thoracic idiopathic spinal cord herniation. Technical case report and review

Authors: Michael Payer, Dominik Zumsteg, Nicolas De Tribolet, Stephan Wetzel

Published in: Acta Neurochirurgica | Issue 8/2016

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Abstract

Idiopathic spinal cord herniation (ISCH) is a rare spinal disease, in which chronic cerebrospinal fluid pulsations push the arachnoid and adjacent thoracic spinal cord region through an antero-lateral dural defect of congenital, post-traumatic, or inflammatory/erosive origin. Symptomatic patients commonly present around the 5th decade of life with slowly progressive myelopathy. Diagnosis relies on high-resolution magnetic resonance imaging. Stable mild cases may be observed, whereas in progressive symptomatic situations, surgical spinal cord reposition and dural defect repair with a dural patch is the preferred treatment. We present a case of ISCH at T5/6 and a review the literature.
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Metadata
Title
Surgical management of thoracic idiopathic spinal cord herniation. Technical case report and review
Authors
Michael Payer
Dominik Zumsteg
Nicolas De Tribolet
Stephan Wetzel
Publication date
01-08-2016
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 8/2016
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-016-2840-2

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