Open AccessIdiopathic thoracic transdural intravertebral spinal cord herniation
Author(s) -
Mazda K Turel,
Joshua T. Wewel,
Mena G. Kerolus,
John E. O’Toole
Publication year - 2017
Publication title -
journal of craniovertebral junction and spine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 23
eISSN - 0976-9285
pISSN - 0974-8237
DOI - 10.4103/jcvjs.jcvjs_12_17
Subject(s) - medicine , myelopathy , spinal cord , presentation (obstetrics) , surgery , radiological weapon , pathophysiology , spinal cord compression , pathology , psychiatry
Idiopathic spinal cord herniation is a rare and often missed cause of thoracic myelopathy. The clinical presentation and radiological appearance is inconsistent and commonly confused with a dorsal arachnoid cyst and often is a misdiagnosed entity. While ventral spinal cord herniation through a dural defect has been previously described, intravertebral herniation is a distinct entity and extremely rare. We present the case of a 70-year old man with idiopathic thoracic transdural intravertebral spinal cord herniation and discuss the clinico-radiological presentation, pathophysiology and operative management along with a review the literature of this unusual entity.