title: Idiopathic dural herniation of the thoracic spinal cord.
abstract: Symptomatic anterior or anterolateral dural herniation of the spinal cord is rare, and not uncommonly misdiagnosed, both clinically and radiologically. We present four patients with a radiological diagnosis of herniation of the thoracic spinal cord, and review the current literature. All affected patients have been adults, typically presenting with long-standing, unexplained sensory symptoms and eventually developing a Brown-Séquard syndrome, with or without motor changes. Herniation occurs in the upper or midthoracic region, between the T2 and T8 levels.
authors.affiliation: Lysholm Radiological Department, National Hospital for Neurology and Neurosurgery, London, UK.
authors.forename: O N
authors.initials: ON
authors.lastname: Hausmann
authors.forename: I F
authors.initials: IF
authors.lastname: Moseley
mesh_terms: D000328:Adult; D000368:Aged; D000818:Animals; D018437:Brown-Sequard Syndrome / Q000175:diagnosis / Q000601:surgery; D002417:Cattle; D017586:Diskectomy; D004388:Dura Mater / Q000473:pathology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008588:Meningocele / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D009192:Myelography; D009460:Neurologic Examination; D015493:Paraparesis, Tropical Spastic / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis; D013116:Spinal Cord / Q000473:pathology / Q000601:surgery; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome