title: Surgical management of thoracic idiopathic spinal cord herniation. Technical case report and review.
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.
authors.affiliation: Klinik Hirslanden, Witellikerstrasse 40, 8032, Zürich, Switzerland. mpayer@hotmail.com.|University Hospital of Geneva, Geneva, Switzerland. mpayer@hotmail.com.
authors.forename: Michael
authors.initials: M
authors.lastname: Payer
authors.affiliation: Klinik Hirslanden, Witellikerstrasse 40, 8032, Zürich, Switzerland.
authors.forename: Dominik
authors.initials: D
authors.lastname: Zumsteg
authors.affiliation: Klinik Hirslanden, Witellikerstrasse 40, 8032, Zürich, Switzerland.
authors.forename: Nicolas
authors.initials: N
authors.lastname: De Tribolet
authors.affiliation: Klinik Hirslanden, Witellikerstrasse 40, 8032, Zürich, Switzerland.
authors.forename: Stephan
authors.initials: S
authors.lastname: Wetzel
mesh_terms: D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013116:Spinal Cord / Q000601:surgery*; D013118:Spinal Cord Diseases / Q000601:surgery*; D013904:Thoracic Vertebrae / Q000601:surgery*
keywords: Herniation; Idiopathic; Spinal cord; Thoracic myelopathy; Thoracic spine