J Korean Neurosurg Soc.  2015 Sep;58(3):294-297. 10.3340/jkns.2015.58.3.294.

Idiopathic Spinal Cord Herniation Presented as Brown-Sequard Syndrome: A Case Report and Surgical Outcome

• Ju MW
• Choi SW
• Youm JY
• Kwon HJ

• KMID: 2191387
• DOI: http://doi.org/10.3340/jkns.2015.58.3.294

Abstract

Spinal cord herniation is a rare condition that has become increasingly recognised in the last few years. The authors report a case of idiopathic spinal cord herniation in a 33 year old woman performed with progressive Brown-Sequard syndrome. The diagnosis was made on MR imaging. After repairing the herniation, the patient made a gradual improvement. Potential causes are discussed, including a possible role of dural defect. In conclusion, idiopathic spinal cord herniation is a potentially treatable condition that should be more readily diagnosed that increasing awareness and improved imaging techniques.

Keyword

Spinal cord herniation; Brown-Sequard syndrome; Idiopathic; Duroplasty

MeSH Terms

Brown-Sequard Syndrome*
Diagnosis
Female
Humans
Magnetic Resonance Imaging
Spinal Cord*

Figure

• 

  Fig. 1 A and B : Axial and sagittal T2-weighted MRI shows transdural left side ventrolateral herniation of the spinal cord at the level of the T3-4 intervertebral space. C and D : After 2 weeks, post-operative MRI shows correction of spinal cord herniation.

• 

  Fig. 2 A : An intra-operative photograph shows the herniated cord segment. B : Duroplasty was performed using a Tacho-comb®.

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