title: Spinal cord herniation with characteristic bone change: a case report.
abstract: Spinal cord herniation (SCH) is a rare disease characterized by herniation of the thoracic spinal cord through an anterior dural defect, presenting with progressive myelopathy. A case of a 69-year-old woman who presented with Brown-Sequard syndrome and a bone defect, in which an osteophyte created a hemisphere-like cavity with spinal cord herniation, is presented. The strangled spinal cord was released, and the defect was closed microsurgically using an artificial dural patch to prevent re-herniation. Postoperatively, the patient experienced gradual improvement in neurologic function. The SCH mechanism and surgical strategy are discussed.
authors.affiliation: Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan ; Department of Neurosurgery, Toyota Kosei Hospital, Toyota, Japan.
authors.forename: Tasuku
authors.initials: T
authors.lastname: Imai
authors.affiliation: Department of Neurosurgery, Toyota Kosei Hospital, Toyota, Japan.
authors.forename: Yukimi
authors.initials: Y
authors.lastname: Nakane
authors.affiliation: Department of Neurosurgery, Toyota Kosei Hospital, Toyota, Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Tachibana
authors.affiliation: Department of Neurosurgery, Toyota Kosei Hospital, Toyota, Japan.
authors.forename: Koichiro
authors.initials: K
authors.lastname: Ogura
keywords: Brown-Sequard syndrome; bone defect; dural patch; spinal cord herniation