||Spinal cord herniation with characteristic bone change: a case report
Imai, Tasuku ,
Nakane, Yukimi ,
Tachibana, EijiOgura, Koichiro
Nagoya Journal of Medical Science
520 , 2015-08 , Nagoya University Graduate School of Medicine, School of Medicine
Spinal cord herniation (SCH) is a rare disease characterized by herniation of the thoracic spinal cord through an anterior dural defect, presenting with progressive myelopathy. A case of a 69-year-old woman who presented with Brown-Sequard syndrome and a bone defect, in which an osteophyte created a hemisphere-like cavity with spinal cord herniation, is presented. The strangled spinal cord was released, and the defect was closed microsurgically using an artificial dural patch to prevent re-herniation. Postoperatively, the patient experienced gradual improvement in neurologic function. The SCH mechanism and surgical strategy are discussed.