Ulrich, Christian Thomas; Fung, Christian; Piechowiak, Eike Immo; Gralla, Jan; Raabe, Andreas; Beck, Jürgen (2018). Disc herniation, occult on preoperative imaging but visualized microsurgically, as the cause of idiopathic thoracic spinal cord herniation. Acta neurochirurgica, 160(3), pp. 467-470. Springer 10.1007/s00701-018-3466-3
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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.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology 04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery |
UniBE Contributor: |
Ulrich, Christian Thomas (A), Fung, Christian, Piechowiak, Eike Immo, Gralla, Jan, Raabe, Andreas, Beck, Jürgen |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0001-6268 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Martin Zbinden |
Date Deposited: |
12 Apr 2018 16:31 |
Last Modified: |
29 Mar 2023 23:35 |
Publisher DOI: |
10.1007/s00701-018-3466-3 |
PubMed ID: |
29350292 |
Uncontrolled Keywords: |
Disc protrusion Dural erosion Idiopathic spinal cord herniation Microsurgical exploration Spontaneous intracranial hypotension |
BORIS DOI: |
10.7892/boris.110713 |
URI: |
https://boris.unibe.ch/id/eprint/110713 |