OBJECT: The authors report on a series of 10 patients with spontaneous thoracic cord herniation, provide the longterm follow-up, and propose a surgical strategy. METHODS: All 10 patients had a defect in the ventral dura mater. They were all treated surgically with wide excision of the dura around the defect, repositioning of the cord, and reconstruction with a ventral patch. Five patients were followed up for > 4 years. RESULTS: Surgery improved motor power in 4 patients and pain in 2 patients, although sensory disturbances remained unchanged in all but 1 patient. One patient's condition deteriorated secondarily due to edema and syringomyelia. CONCLUSIONS: Microsurgical treatment may halt the exacerbation of neurological symptoms and should be performed with progressive deficits. Long-term results are good regarding the motor function.
OBJECT: The authors report on a series of 10 patients with spontaneous thoracic cord herniation, provide the longterm follow-up, and propose a surgical strategy. METHODS: All 10 patients had a defect in the ventral dura mater. They were all treated surgically with wide excision of the dura around the defect, repositioning of the cord, and reconstruction with a ventral patch. Five patients were followed up for > 4 years. RESULTS: Surgery improved motor power in 4 patients and pain in 2 patients, although sensory disturbances remained unchanged in all but 1 patient. One patient's condition deteriorated secondarily due to edema and syringomyelia. CONCLUSIONS: Microsurgical treatment may halt the exacerbation of neurological symptoms and should be performed with progressive deficits. Long-term results are good regarding the motor function.
Authors: Rodrigo Becco De Souza; Guilherme Brasileiro De Aguiar; Jefferson Walter Daniel; José Carlos Esteves Veiga Journal: Surg Neurol Int Date: 2014-12-30
Authors: Ronald H M A Bartels; Han Brunner; Allard Hosman; Nens van Alfen; J André Grotenhuis Journal: Front Neurol Date: 2017-09-11 Impact factor: 4.003