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Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury

Background  Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management. Case Presentation  A 44-year-old male presented with Brown-Sequard syndrome three decades after a cervical nerve root avulsion injury. Im...

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Autores principales: Patel, Jay, Stewart, James, Biswas, Shubhabrata, Zaid, Sarsam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132880/
https://www.ncbi.nlm.nih.gov/pubmed/37123578
http://dx.doi.org/10.1055/s-0042-1760283
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author Patel, Jay
Stewart, James
Biswas, Shubhabrata
Zaid, Sarsam
author_facet Patel, Jay
Stewart, James
Biswas, Shubhabrata
Zaid, Sarsam
author_sort Patel, Jay
collection PubMed
description Background  Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management. Case Presentation  A 44-year-old male presented with Brown-Sequard syndrome three decades after a cervical nerve root avulsion injury. Imaging revealed hemicord herniation into a C7/T1 pseudomeningocele in addition to extra-axial cord compression from further pseudomeningoceles. Significant clinical improvement was achieved following surgical repair. The radiological findings and technique for operative repair are described. Conclusion  The case highlights this rare pathology and presentation, describes the surgical measures for repair of cord herniation, and provides evidence for the favorable outcome that can be achieved by surgical intervention.
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spelling pubmed-101328802023-04-27 Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury Patel, Jay Stewart, James Biswas, Shubhabrata Zaid, Sarsam Indian J Radiol Imaging Background  Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management. Case Presentation  A 44-year-old male presented with Brown-Sequard syndrome three decades after a cervical nerve root avulsion injury. Imaging revealed hemicord herniation into a C7/T1 pseudomeningocele in addition to extra-axial cord compression from further pseudomeningoceles. Significant clinical improvement was achieved following surgical repair. The radiological findings and technique for operative repair are described. Conclusion  The case highlights this rare pathology and presentation, describes the surgical measures for repair of cord herniation, and provides evidence for the favorable outcome that can be achieved by surgical intervention. Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-01-31 /pmc/articles/PMC10132880/ /pubmed/37123578 http://dx.doi.org/10.1055/s-0042-1760283 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Patel, Jay
Stewart, James
Biswas, Shubhabrata
Zaid, Sarsam
Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury
title Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury
title_full Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury
title_fullStr Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury
title_full_unstemmed Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury
title_short Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury
title_sort spinal cord herniation into a pseudomeningocele—a delayed presentation following a traumatic cervical root avulsion injury
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10132880/
https://www.ncbi.nlm.nih.gov/pubmed/37123578
http://dx.doi.org/10.1055/s-0042-1760283
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