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Journal of Craniovertebral Junction and Spine
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CASE REPORT
Year : 2017  |  Volume : 8  |  Issue : 3  |  Page : 288-290

Idiopathic thoracic transdural intravertebral spinal cord herniation


Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA

Correspondence Address:
Mazda K Turel
Department of Neurosurgery, Rush University Medical Center, 1725 W Harrison Street, Suite 855, Chicago, IL
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcvjs.JCVJS_12_17

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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.


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