J Clin Neurol.  2007 Dec;3(4):204-207. 10.3988/jcn.2007.3.4.204.

Idiopathic Spinal Cord Herniation as a Treatable Cause of Progressive Brown-Sequard Syndrome

Affiliations
  • 1Department of Neurology, College of Medicine, Seoul National University, Seoul, Korea. pks1126@chol.com
  • 2Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.

Abstract

Idiopathic spinal cord herniation is a rare spinal cord disorder caused by spinal cord prolapse through a adural defect. It is a curable disease, so early detection is of particular importance. We report a 38-year-old woman with Brown-Sequard syndrome which was caused by the thoracic spinal cord herniation. Her weakness was almost completely resolved after surgical management, which emphasizes the importance of early diagnosis and surgical management in this rare disease entity.

Keyword

Idiopathic spinal cord herniation; Brown-Sequard syndrome; Treatment; Surgery

MeSH Terms

Adult
Brown-Sequard Syndrome*
Early Diagnosis
Female
Humans
Prolapse
Rare Diseases
Spinal Cord Diseases
Spinal Cord*

Figure

  • Figure 1 Initial cervicothoracic spine MRI showing anterior displacement of spinal cord at the level of the T4-5 disc (arrows).

  • Figure 2 Spine MRI performed 3 days after surgery showing restored spinal cord contour at the level of the T4-5 disc (arrow).


Cited by  1 articles

Idiopathic Spinal Cord Herniation Presented as Brown-Sequard Syndrome : A Case Report and Surgical Outcome
Min-Wook Ju, Seung-Won Choi, Jin-Young Youm, Hyon-Jo Kwon
J Korean Neurosurg Soc. 2015;58(3):294-297.    doi: 10.3340/jkns.2015.58.3.294.


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