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  • Title: [Spontaneous herniation of the thoracic spinal cord as the etiology of progressive Brown-Sequard syndrome. A description of 3 cases].
    Author: Ewald C, Hassler WE.
    Journal: Nervenarzt; 2001 Jun; 72(6):441-4. PubMed ID: 11433703.
    Abstract:
    Spontaneous herniation of the spinal cord through a ventral dural defect is a rare neurological entity. We report on 3 patients treated in our clinic within 6 months. In 2 cases, the lesions were located at the BWK6 level and, in one case, at BWK2. The clinical presentation of all patients was f progressive Brown-Séquard's Syndrome. Diagnosis was confirmed by magnetic resonance imaging. In all cases, operation was performed. The myelon was replaced in the dural sleeve and the defect covered with a patch of lyophilized dura. After 1 year, symptoms were stable in 2 patients. In one case there was a slight deterioration because of an inexplicable swelling of the spinal cord which could not be controlled with a second operation. Pathophysiological, clinical, and radiological aspects are presented and discussed.
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