Disc herniation, occult on preoperative imaging but visualized microsurgically, as the cause of idiopathic thoracic spinal cord herniation.

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)

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; Fung, Christian; Piechowiak, Eike Immo; Gralla, Jan; Raabe, Andreas and 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:

25 Apr 2018 12:45

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

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