Dorsal thoracic spinal cord herniation: Report of an unusual case and review of the literature

Tri C. Le, Betsy H. Grunch, Isaac O. Karikari, Ankit I. Mehta, Timothy R. Owens, Oren N. Gottfried, Carlos A. Bagley

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background context: Spinal cord herniation is a rare but well-documented condition that has been associated with tethering through the dural defect. Both spinal cord herniation and cord tethering result in progressive myelopathy that can be improved or stabilized with surgical intervention. Most cases of herniation are caused by dural defects in the ventral or ventrolateral thoracic spine, rarely occurring through the dorsal dura. This is the first reported case of a spontaneous dorsal herniation. Purpose: To describe a unique case of thoracic tethered cord resulting from a dorsal dural defect through which there is spinal cord herniation. Study design: A case report and review of the literature. Methods: A 55-year-old man presented with progressive low back pain, paresthesias, and weakness in his left lower extremity that was exacerbated by walking. Imaging revealed a dorsal dural defect with tethering and herniation of the spinal cord at T7. Results: The patient underwent a T6-T7 laminoplasty to release the tethered cord and repair the dural defect. At 1-year follow-up, the patient noted improvement in strength and back spasticity. Conclusions: Spinal cord herniation through a dural defect is an uncommon but important cause of symptomatic tethered cord in adults. Surgical intervention can significantly alter the course and prevent further disability.

Original languageEnglish (US)
JournalSpine Journal
Volume12
Issue number10
DOIs
StatePublished - Oct 1 2012

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Spinal Cord
Thorax
Paresthesia
Spinal Cord Diseases
Low Back Pain
Walking
Lower Extremity
Spine

Keywords

  • Brown-Sequard syndrome
  • Myelopathy
  • Spinal cord herniation
  • Tethered cord
  • Thoracic spine disorders

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Dorsal thoracic spinal cord herniation : Report of an unusual case and review of the literature. / Le, Tri C.; Grunch, Betsy H.; Karikari, Isaac O.; Mehta, Ankit I.; Owens, Timothy R.; Gottfried, Oren N.; Bagley, Carlos A.

In: Spine Journal, Vol. 12, No. 10, 01.10.2012.

Research output: Contribution to journalArticle

Le, Tri C. ; Grunch, Betsy H. ; Karikari, Isaac O. ; Mehta, Ankit I. ; Owens, Timothy R. ; Gottfried, Oren N. ; Bagley, Carlos A. / Dorsal thoracic spinal cord herniation : Report of an unusual case and review of the literature. In: Spine Journal. 2012 ; Vol. 12, No. 10.
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abstract = "Background context: Spinal cord herniation is a rare but well-documented condition that has been associated with tethering through the dural defect. Both spinal cord herniation and cord tethering result in progressive myelopathy that can be improved or stabilized with surgical intervention. Most cases of herniation are caused by dural defects in the ventral or ventrolateral thoracic spine, rarely occurring through the dorsal dura. This is the first reported case of a spontaneous dorsal herniation. Purpose: To describe a unique case of thoracic tethered cord resulting from a dorsal dural defect through which there is spinal cord herniation. Study design: A case report and review of the literature. Methods: A 55-year-old man presented with progressive low back pain, paresthesias, and weakness in his left lower extremity that was exacerbated by walking. Imaging revealed a dorsal dural defect with tethering and herniation of the spinal cord at T7. Results: The patient underwent a T6-T7 laminoplasty to release the tethered cord and repair the dural defect. At 1-year follow-up, the patient noted improvement in strength and back spasticity. Conclusions: Spinal cord herniation through a dural defect is an uncommon but important cause of symptomatic tethered cord in adults. Surgical intervention can significantly alter the course and prevent further disability.",
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