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VOLUME 1 , ISSUE 1 ( January-March, 2014 ) > List of Articles

CASE REPORT

Idiopathic Spinal Cord Herniation

Jay Kotecha, Makarand Kulkarni

Citation Information : Kotecha J, Kulkarni M. Idiopathic Spinal Cord Herniation. J Spinal Surg 2014; 1 (1):46-48.

DOI: 10.5005/jp-journals-10039-1010

Published Online: 01-06-2016

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

History

A 54-year-old female presented with complaints of backache since 6 to 8 months, weakness in both lower limbs and difficulty in walking. She had past history of cervical and lumbar decompression surgery.

Imaging findings

On MRI, a focal kink was seen in the dorsal spinal cord at T8-T9 level. Anterior displacement of the spinal cord was also seen at this level with prominent posterior subarachnoid spaces. Along with other findings described, it was suggestive of idiopathic spinal cord herniation.

Management

Management strategy along with the etiopathogenesis and differential diagnosis is described in the text.

Conclusion

Despite the fact that MR imaging appearances of this entity are pathognomonic, missed diagnosis and misdiagnosis are common. Careful imaging study would avoid this.

How to cite this article

Kotecha J, Kulkarni M. Idiopathic Spinal Cord Herniation. J Spinal Surg 2014;1(1):46-48.

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  1. Idiopathic spinal cord herniation: a new theory of pathogenesis. Surg Neurol 2004;62:161-170.
  2. Idiopathic spinal cord herniation: case report and review of the literature. Neurosurgery 1999;44:1129-1133.
  3. Spontaneous spinal cord herniation: case report and review of the literature. Neurosurgery 2000;46:485-491.
  4. Idiopathic spinal cord herniation associated with intervertebral disc extrusion: a case report and review of the literature. Spine 2001;26:1090-1094.
  5. Spinal cord herniation associated with an intradural spinal arachnoid cyst diagnosed by magnetic resonance imaging. Neurosurgery 1991;29:137-139.
  6. Idiopathic spinal cord herniation: value of MR phasecontrast imaging. AJNR Am J Neuroradiol 1999;20(5):935-939.
  7. Idiopathic spinal cord herniation: report of eight cases and review of the literature. Spine 2002;27(9):E233-E241.
  8. Surgical management of idiopathic spinal cord herniation: a review of nine cases treated by enlargement of the dural defect. J Neurosurg 2001;95(2 suppl):169-172.
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