特発性脊髄ヘルニアの 1 例

概要

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Idiopathic spinal cord herniation is an uncommon clinical problem. The authors report a case of spontaneous herniation of the spinal cord in a 56-year-old man who presented with an unexplained, longstanding spastic paraparesis. Ventral spinal cord displacement with no apparent dorsal mass was noted at the Th2-3 vertebral level on magnetic resonance imaging and computed tomography following myelography. The dural defect and the herniation of the spinal cord were confirmed at operation. The herniated spinal cord was mended intradurally, and the dural defect was closed primarily. Postoperatively, the patient showed neurological recovery. Idiopathic spinal cord herniation is a treatable cause of myelopathy that may be more common than is currently recognized and should be known to all surgeons managing spinal disorders.
日本脊髄外科学会の論文
2000-02-29