TY - JOUR
T1 - Posterior spinal cord herniation
T2 - A novel occurrence following surgery for an intramedullary cyst at the thoracolumbar junction
AU - Zakaria, Rasheed
AU - Ellenbogen, Jonathan R.
AU - Grewal, Ishvinder S.
AU - Buxton, Neil
PY - 2013/5
Y1 - 2013/5
N2 - Background Dorsal herniation of the spinal cord through the dura is an uncommon phenomenon and this is only the fifth reported case in the thoracolumbar spine, the first following surgery at the thoracolumbar junction. Case A 57-year-old male underwent marsupialisation of a benign intramedullary cyst at the T12-L1 level and subsequently returned with symptoms of dorsal column compromise. He was found to have a posterior herniation of the cord into a pseudomeningocele at the level of the previous surgery. Conclusion The hernia was reduced surgically and the defect closed directly without the need for a dural patch leading to a full recovery. Posterior cord herniation, its possible aetiologies and management strategies are discussed.
AB - Background Dorsal herniation of the spinal cord through the dura is an uncommon phenomenon and this is only the fifth reported case in the thoracolumbar spine, the first following surgery at the thoracolumbar junction. Case A 57-year-old male underwent marsupialisation of a benign intramedullary cyst at the T12-L1 level and subsequently returned with symptoms of dorsal column compromise. He was found to have a posterior herniation of the cord into a pseudomeningocele at the level of the previous surgery. Conclusion The hernia was reduced surgically and the defect closed directly without the need for a dural patch leading to a full recovery. Posterior cord herniation, its possible aetiologies and management strategies are discussed.
KW - Hernia
KW - Neurenteric cyst
KW - Pseudomeningocele
KW - Spinal cord disorders
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U2 - 10.1007/s00586-012-2515-5
DO - 10.1007/s00586-012-2515-5
M3 - Article
C2 - 23014740
AN - SCOPUS:84891690015
SN - 0940-6719
VL - 22
SP - S399-S403
JO - European Spine Journal
JF - European Spine Journal
IS - SUPPL.3
ER -