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Idiopathic Spinal Cord Herniation­Case Report
Cirineo Sacco, Rogerio; de Amoreira Gepp, Ricardo; Sainz Quiroga, Marco Rolando; de Souza, Henrique Caetano; Viana Bonan de Aguiar, Vitor; Corecha Santos, Romel.
  • Cirineo Sacco, Rogerio; Rede SARAH de Hospitais. Brasília, DF. BR
  • de Amoreira Gepp, Ricardo; Rede SARAH de Hospitais. Brasília, DF. BR
  • Sainz Quiroga, Marco Rolando; Rede SARAH de Hospitais. Brasília, DF. BR
  • de Souza, Henrique Caetano; Rede SARAH de Hospitais. Brasília, DF. BR
  • Viana Bonan de Aguiar, Vitor; Rede SARAH de Hospitais. Brasília, DF. BR
  • Corecha Santos, Romel; Rede SARAH de Hospitais. Brasília, DF. BR
Arq. bras. neurocir ; 37(3): 280-283, 2018.
Article in English | LILACS | ID: biblio-1362869
ABSTRACT
Idiopathic spinal cord herniation is a rare cause of progressivemyelopathy, especially in the absence of a history of spinal or surgical trauma. The radiological diagnosis ismade through a myelography or an MRI exam. The spinal cord is pushed anteriorly, buffering the dural defect and leading inmost cases to Brown-Séquard syndrome. The present study describes the case of a male patient with a clinical picture of progressive thoracicmyelopathy. In the clinical and radiological investigation, an idiopathic spinal cord herniation on the chest level was identified. During the surgery, the spinal cord was reduced to the natural site, taking its usual elliptical shape, and the dural defect was repaired with a dural substitute. The numbness of the patient improved, and the shocks in the lower limbs disappeared. A postoperative MRI confirmed the surgical reduction of the herniation and the restoration of the anterior cerebrospinal fluid (CSF) column to the spinal cord. The authors describe the clinical, radiological, intraoperative, and postoperative evolution.
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Full text: Available Index: LILACS (Americas) Main subject: Spinal Cord Diseases / Herniorrhaphy / Hernia Type of study: Diagnostic study / Prognostic study Limits: Adult / Humans / Male Language: English Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Rede SARAH de Hospitais/BR

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Full text: Available Index: LILACS (Americas) Main subject: Spinal Cord Diseases / Herniorrhaphy / Hernia Type of study: Diagnostic study / Prognostic study Limits: Adult / Humans / Male Language: English Journal: Arq. bras. neurocir Journal subject: Cirurgia / Neurosurgery Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Rede SARAH de Hospitais/BR