Abstract | BACKGROUND: Spinal cord herniation was first described in 1974. It generally occurs in middle-aged adults in the thoracic spine. Symptoms typically include back pain and progressive paraparesis characterized by Brown-Séquard syndrome. Surgical reduction of the hernia improves the attendant symptoms and signs, even in patients with longstanding deficits. CASE DESCRIPTION: A 66-year-old female with back pain for 7 years, accompanied by paresthesias and a progressive paraparesis, underwent a thoracic MRI which documented a ventral spinal cord herniation at the T4 level. Following a laminectomy, with reduction of the hernia and ventral dural repair, the patient improved. CONCLUSION: Herniation of the thoracic cord, documented on MR, may produce symptomatic paraparesis which may resolve following laminectomy with ventral dural repair.
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Authors | Rodrigo Becco De Souza, Guilherme Brasileiro De Aguiar, Jefferson Walter Daniel, José Carlos Esteves Veiga |
Journal | Surgical neurology international
(Surg Neurol Int)
Vol. 5
Issue Suppl 15
Pg. S564-6
( 2014)
ISSN: 2229-5097 [Print] United States |
PMID | 25593778
(Publication Type: Case Reports)
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