[MR investigation of spinal cord herniation in the thoracic spine].
Transdural herniation of the spinal cord is thought to be previously extremely rare and very often misdiagnosed. Possible reasons may be iatrogenic and traumatic or in about one third of cases it may be unknown, where the probable origin might be a congenital dural defect. The pathology may show characteristic and misleading MR patterns of the thoracic spine, emphasising the importance of these patterns. This anomaly can lead to progressive Brown-Sequard syndrome. Surgical intervention, consisting the repair of the dural defect may result in improvement or even complete regression of the neurologic deficits.
Semmelweis Egyetem, Egészségtudományi Kar, Neuroradiológiai Tanszék, 1021 Budapest, Húvösvölgyi út 116. profkenez@opni.hu
József
J
Kenéz
Péter
P
Barsi
György
G
Várallyay
Mátyás
M
Bobest
Róbert
R
Veres
D000328:Adult; D018437:Brown-Sequard Syndrome / Q000209:etiology; D004388:Dura Mater / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008588:Meningocele / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D013118:Spinal Cord Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D013904:Thoracic Vertebrae