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Idiopathic thoracic spinal cord herniation
Journal article   Peer reviewed

Idiopathic thoracic spinal cord herniation

Michael G.Z. Ghali, Visish M. Srinivasan, Vikas Y. Rao and Ibrahim Omeis
Journal of clinical neuroscience, v 51
May 2018
DOI: https://doi.org/10.1016/j.jocn.2017.10.090
PMID: 29472069
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Idiopathic Operative Spinal cord herniation Technique Thoracic
•Spinal cord herniation (SCH) is uncommon.•SCH is usually idiopathic and occurs in the thoracic cord.•SCH presents as a subacute myelopathy.•Operative repair is indicated for idiopathic spinal cord herniation. Idiopathic spinal cord herniation represents an uncommon and unique diagnostic entity, most commonly affecting middle-aged individuals, with a nearly twofold female predilection. It most characteristically affects the mid-thoracic spine, with the herniation occurring ventrally or ventrolaterally. Clinical presentation is typically a slowly-progressive myelopathy, with Brown-Séquard syndrome occurring more frequently than spastic paraparesis. Diagnosis is made by imaging, with high-resolution or phase-contrast MR sequences and/or CT myelography. Treatment should be individualized, with options including conservative management with routine follow-up and surgical intervention. We review the literature on this interesting topic and report on, and present our technique for, operative reduction and repair of idiopathic spinal cord herniation in a 66 year-old woman.

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9 Record Views
11 citations in Web of Science
14 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Clinical Neurology
Neurosciences
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