Journal article
Disc herniation, occult on preoperative imaging but visualized microsurgically, as the cause of idiopathic thoracic spinal cord herniation.
- Ulrich CT Department of Neurosurgery, Bern University Hospital, Inselspital, 3010, Bern, Switzerland.
- Fung C Department of Neurosurgery, Bern University Hospital, Inselspital, 3010, Bern, Switzerland.
- Piechowiak E Institute of Neuroradiology, Bern University Hospital, Inselspital, Bern, Switzerland.
- Gralla J Institute of Neuroradiology, Bern University Hospital, Inselspital, Bern, Switzerland.
- Raabe A Department of Neurosurgery, Bern University Hospital, Inselspital, 3010, Bern, Switzerland.
- Beck J Department of Neurosurgery, Bern University Hospital, Inselspital, 3010, Bern, Switzerland. juergen.beck@insel.ch.
- 2018-01-20
Published in:
- Acta neurochirurgica. - 2018
Disc protrusion
Dural erosion
Idiopathic spinal cord herniation
Microsurgical exploration
Spontaneous intracranial hypotension
Dura Mater
Female
Hernia
Herniorrhaphy
Humans
Intervertebral Disc Displacement
Magnetic Resonance Imaging
Microsurgery
Middle Aged
Spinal Cord Diseases
Thoracic Vertebrae
English
Idiopathic spinal cord herniation (ISCH) through an anterior dural defect is rare and the cause is uncertain. Recently, through interpreting imaging studies, disc herniation was proposed to be a major cause for ISCH. We describe the case of a 50-year-old woman with progressive myelopathy who was diagnosed with a thoracic spinal cord herniation. Microsurgical exploration revealed an anterior vertical dural defect and a small concomitant disc herniation, occult on the preoperative imaging, which caused the dural defect and led to ISCH. This intraoperative finding corroborates the emerging notion that disc herniation is the underlying cause of ISCH.
- Language
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- English
- Open access status
- closed
- Identifiers
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- DOI 10.1007/s00701-018-3466-3
- PMID 29350292
- Persistent URL
- https://folia.unifr.ch/global/documents/278704
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