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Spinal cord herniation with characteristic bone change: a case report

Spinal cord herniation (SCH) is a rare disease characterized by herniation of the thoracic spinal cord through an anterior dural defect, presenting with progressive myelopathy. A case of a 69-year-old woman who presented with Brown-Sequard syndrome and a bone defect, in which an osteophyte created a...

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Detalles Bibliográficos
Autores principales: Imai, Tasuku, Nakane, Yukimi, Tachibana, Eiji, Ogura, Koichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nagoya University 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4574340/
https://www.ncbi.nlm.nih.gov/pubmed/26412899
Descripción
Sumario:Spinal cord herniation (SCH) is a rare disease characterized by herniation of the thoracic spinal cord through an anterior dural defect, presenting with progressive myelopathy. A case of a 69-year-old woman who presented with Brown-Sequard syndrome and a bone defect, in which an osteophyte created a hemisphere-like cavity with spinal cord herniation, is presented. The strangled spinal cord was released, and the defect was closed microsurgically using an artificial dural patch to prevent re-herniation. Postoperatively, the patient experienced gradual improvement in neurologic function. The SCH mechanism and surgical strategy are discussed.