Open AccessDorsal Cord Herniation with DiastematomyeliaA Rare Case
Author(s) -
Saad Shaikh,
Sneha Sirigireddy,
Vishal Walasangikar,
Viraj Shah,
Rahul S Navani
Publication year - 2022
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2022/52054.16023
Subject(s) - medicine , spinal cord , diastematomyelia , myelopathy , cord , subarachnoid space , magnetic resonance imaging , cerebrospinal fluid , surgery , dorsum , anatomy , radiology , pathology , psychiatry
Transdural spinal cord herniation is rare and under reported. Ventral or ventro-lateral cord herniation is relatively more common and a well described entity. Dorsal or posterior spinal cord herniation is very rare, only five cases in the cervical spine, as per our knowledge. It is nonetheless a recognised cause of myelopathy, either acquired postsurgery or post-trauma or idiopathic in cause and congenital. The authors are reporting a rare case of a 47-year-old male patient who underwent Magnetic Resonance Imaging (MRI) spine. The MRI showed cord with diastematomyelia from C3 to C5 levels with kinking of cord at this level attached to the posterior dura. Posterior subarachnoid space at this level is completely effaced with no evidence of Cerebrospinal Fluid (CSF) posterior to the cord and hence, the patient was subsequently diagnosed as postoperative dorsal spinal cord herniation and myelomalacia in the cervical spine associated with diastematomyelia. Patient is being managed conservatively till date.