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  • Title: Surgical management of thoracic idiopathic spinal cord herniation. Technical case report and review.
    Author: Payer M, Zumsteg D, De Tribolet N, Wetzel S.
    Journal: Acta Neurochir (Wien); 2016 Aug; 158(8):1579-82. PubMed ID: 27221089.
    Abstract:
    Idiopathic spinal cord herniation (ISCH) is a rare spinal disease, in which chronic cerebrospinal fluid pulsations push the arachnoid and adjacent thoracic spinal cord region through an antero-lateral dural defect of congenital, post-traumatic, or inflammatory/erosive origin. Symptomatic patients commonly present around the 5th decade of life with slowly progressive myelopathy. Diagnosis relies on high-resolution magnetic resonance imaging. Stable mild cases may be observed, whereas in progressive symptomatic situations, surgical spinal cord reposition and dural defect repair with a dural patch is the preferred treatment. We present a case of ISCH at T5/6 and a review the literature.
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