The pathophysiology, classification, treatment, and prognosis of a spontaneous thoracic spinal cord herniation: A case study with literature review

BACKGROUND: Spinal cord herniation was first described in 1974. It generally occurs in middle-aged adults in the thoracic spine. Symptoms typically include back pain and progressive paraparesis characterized by Brown-Séquard syndrome. Surgical reduction of the hernia improves the attendant symptoms...

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Detalles Bibliográficos
Autores principales: De Souza, Rodrigo Becco, De Aguiar, Guilherme Brasileiro, Daniel, Jefferson Walter, Veiga, José Carlos Esteves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Surgical Neurology International: Spine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287899/
https://www.ncbi.nlm.nih.gov/pubmed/25593778
http://dx.doi.org/10.4103/2152-7806.148042
Descripción
Sumario:BACKGROUND: Spinal cord herniation was first described in 1974. It generally occurs in middle-aged adults in the thoracic spine. Symptoms typically include back pain and progressive paraparesis characterized by Brown-Séquard syndrome. Surgical reduction of the hernia improves the attendant symptoms and signs, even in patients with longstanding deficits. CASE DESCRIPTION: A 66-year-old female with back pain for 7 years, accompanied by paresthesias and a progressive paraparesis, underwent a thoracic MRI which documented a ventral spinal cord herniation at the T4 level. Following a laminectomy, with reduction of the hernia and ventral dural repair, the patient improved. CONCLUSION: Herniation of the thoracic cord, documented on MR, may produce symptomatic paraparesis which may resolve following laminectomy with ventral dural repair.

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