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Spinal cord herniation after brachial plexus injury
BACKGROUND: Spinal cord herniation (SCH) is an uncommon cause of myelopathy. Documented trauma is a rare cause, and most cases are idiopathic. One special type of trauma that may lead to SCH is a brachial plexus injury. We report a case of SCH with delayed neurological symptoms after a brachial plex...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764918/ https://www.ncbi.nlm.nih.gov/pubmed/29404192 http://dx.doi.org/10.4103/sni.sni_329_17 |
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author | Bamps, Sven Put, Eric Bruno, Termote Calenbergh, Frank Van |
author_facet | Bamps, Sven Put, Eric Bruno, Termote Calenbergh, Frank Van |
author_sort | Bamps, Sven |
collection | PubMed |
description | BACKGROUND: Spinal cord herniation (SCH) is an uncommon cause of myelopathy. Documented trauma is a rare cause, and most cases are idiopathic. One special type of trauma that may lead to SCH is a brachial plexus injury. We report a case of SCH with delayed neurological symptoms after a brachial plexus injury. We reviewed the literature and illustrated the closing technique as described by Batzdorf. CASE DESCRIPTION: Following a motor vehicle accident, a 27-year-old male sustained a brachial plexus injury and multiple left-sided nerve root avulsions (C6, C7, and C8) resulting into a full paralysis of the left arm. There was also a loss of pain and temperature sensation on the right side of the body. He underwent reconstructive surgery without any functional improvement. After 6 to 7 years his condition worsened. Magnetic resonance imaging revealed a left-sided SCH at the level of C7. He underwent a C6-C7 laminectomy which revealed a pseudomeningocele at C6-C7 accompanied by focal SCH at the location of the C7 root. The SCH was reduced intradurally and the dural defect of the meningocele was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura) according to the technique described by Batzdorf. Postoperatively, the neurological symptoms improved. CONCLUSION: SCH should be surgically repaired utilizing the technique described by Batzdorf if further neurological deficits develop. |
format | Online Article Text |
id | pubmed-5764918 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-57649182018-02-05 Spinal cord herniation after brachial plexus injury Bamps, Sven Put, Eric Bruno, Termote Calenbergh, Frank Van Surg Neurol Int Spine: Case Report BACKGROUND: Spinal cord herniation (SCH) is an uncommon cause of myelopathy. Documented trauma is a rare cause, and most cases are idiopathic. One special type of trauma that may lead to SCH is a brachial plexus injury. We report a case of SCH with delayed neurological symptoms after a brachial plexus injury. We reviewed the literature and illustrated the closing technique as described by Batzdorf. CASE DESCRIPTION: Following a motor vehicle accident, a 27-year-old male sustained a brachial plexus injury and multiple left-sided nerve root avulsions (C6, C7, and C8) resulting into a full paralysis of the left arm. There was also a loss of pain and temperature sensation on the right side of the body. He underwent reconstructive surgery without any functional improvement. After 6 to 7 years his condition worsened. Magnetic resonance imaging revealed a left-sided SCH at the level of C7. He underwent a C6-C7 laminectomy which revealed a pseudomeningocele at C6-C7 accompanied by focal SCH at the location of the C7 root. The SCH was reduced intradurally and the dural defect of the meningocele was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura) according to the technique described by Batzdorf. Postoperatively, the neurological symptoms improved. CONCLUSION: SCH should be surgically repaired utilizing the technique described by Batzdorf if further neurological deficits develop. Medknow Publications & Media Pvt Ltd 2017-12-27 /pmc/articles/PMC5764918/ /pubmed/29404192 http://dx.doi.org/10.4103/sni.sni_329_17 Text en Copyright: © 2017 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Spine: Case Report Bamps, Sven Put, Eric Bruno, Termote Calenbergh, Frank Van Spinal cord herniation after brachial plexus injury |
title | Spinal cord herniation after brachial plexus injury |
title_full | Spinal cord herniation after brachial plexus injury |
title_fullStr | Spinal cord herniation after brachial plexus injury |
title_full_unstemmed | Spinal cord herniation after brachial plexus injury |
title_short | Spinal cord herniation after brachial plexus injury |
title_sort | spinal cord herniation after brachial plexus injury |
topic | Spine: Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5764918/ https://www.ncbi.nlm.nih.gov/pubmed/29404192 http://dx.doi.org/10.4103/sni.sni_329_17 |
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