Surgical Management of Idiopathic Thoracic Spinal Cord Herniation
Surgical Management of Idiopathic Thoracic Spinal Cord Herniation
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DOI：
10.1016/j.wneu.2019.05.219
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发表时间：
2019-09-01
影响因子：
2
通讯作者：
Welch, William
中科院分区：
文献类型：
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作者：
Neale, Natalie;Ramayya, Ashwin;Welch, William
背景技术背景：特发性脊髓疝是一种罕见的情况下，涉及脊髓疝通过腹侧dura.CASE描述缺陷：我们提出了一个61岁的女性谁最初在2016年约1年的历史，右下肢疼痛和步态不稳定的情况下，燃烧。她的神经系统检查与胸部BrownLSequard综合征一致，脊髓磁共振成像显示T4上级侧腹侧硬膜局灶性缺损，脊髓左侧疝入缺损。在2018年，她接受了T3-T4椎板切除术，T3椎弓根切除和内侧关节面切除术，减少了疝出的脊髓。结论：特发性脊髓疝是一种罕见的脊髓疾病，报道的数据很少。我们的病例报告的一个典型的特发性脊髓疝表现为BrownLSequard综合征和手术治疗将有助于在这一领域的数据。
BACKGROUND: Idiopathic spinal cord herniation is a rare condition that involves spinal cord herniation through a defect in the ventral dura.CASE DESCRIPTION: We present a case of a 61-year-old woman who initially presented in 2016 with an approximately 1-year history of burning right lower extremity pain and gait instability. Her neurologic examination was consistent with thoracic BrownLSequard syndrome, and spinal magnetic resonance imaging showed a focal defect in the ventral dura at the superior aspect of T4 with the left aspect of the cord herniating into the defect. In 2018, she underwent a T3-T4 laminectomy with T3 pedicle take down and medial facetectomy, with reduction of the herniated cord.CONCLUSIONS: Idiopathic spinal cord herniation is an uncommon spinal cord disorder with a paucity of data reported. Our case report of a classic case of idiopathic spinal cord herniation presenting as BrownLSequard syndrome and managed surgically will contribute to the data in this field.