Departmental Bulletin Paper Spinal cord herniation with characteristic bone change: a case report

Imai, Tasuku  ,  Nakane, Yukimi  ,  Tachibana, Eiji  ,  Ogura, Koichiro

77 ( 3 )  , pp.515 - 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.

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