The Teaching Point

Imaging findings of spinal cord herniation on axial images include protrusion through the dura in an antero-lateral or anterior position. On sagittal images, an anterior C-shaped kink of cord and secondary expansion of the dorsal subarachnoid space can be seen.






Bookmark and Share

From the manuscript

MRI findings in herniation of the spinal cord

Free full text article: MRI findings in herniation of the spinal cord

Abstract
Herniation of the spinal cord is a rare condition that causes non specific neurological deficits that are often a diagnostic challenge to clinicians. Despite several reports in the neurosurgical literature, it is only recently that the imaging appearances of this condition have come to be recognised, due mainly to the widespread adoption of spinal MRI. It is important for radiologists to recognise the telltale MRI features of this condition, as several cases have undergone initial misdiagnosis, resulting in delayed treatment We present a case with typical imaging features to familiarise radiologists with this condition, as it is likely that more cases will come to the fore, with more spinal MRIs being performed.






References



1. Najjar MW, Baeesa SS, Lingawi SS. Idiopathic spinal cord herniation: a new theory of pathogenesis. Surg Neurol 2004 62(2):161-170.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Groen RJM, Middel B, Meilof JF. Operative treatment of anterior thoracic spinal cord herniation: three new cases and an individual patient data meta-analysis of 126 case reports. Neurosurgery 2009 64(3 Suppl):145-159.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Darbar A, Krishnamurthy S, Holsapple JW, Hodge CJ. Ventral thoracic spinal cord herniation: frequently misdiagnosed entity. Spine 2006 31(17):E600-605.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Miyaguchi M, Nakamura H, Shakudo M, Inoue Y, Yamano Y. Idiopathic spinal cord herniation associated with intervertebral disc extrusion: a case report and review of the literature. Spine 2001 26(9):1090-1094.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Senturk S, Guzel A, Guzel E. Atypical clinical presentation of idiophatic thoracic spinal cord herniation. Spine 2008 33(14):E474-477.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Vallée B, Mercier P, Menei P. Ventral transdural herniation of the thoracic spinal cord: surgical treatment in four cases and review of literature. Acta Neurochir (Wien) 1999 141(9):907-913.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Dix JE, Griffitt W, Yates C, Johnson B. Spontaneous thoracic spinal cord herniation through an anterior dural defect. AJNR Am J Neuroradiol 1998 19(7):1345-1348.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Adams RF, Anslow P. The natural history of transdural herniation of the spinal cord: case report. Neuroradiology 2001 43(5):383-387.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Morley S, Naidoo P, Robertson A, Chong W. Thoracic ventral dural defect: idiopathic spinal cord herniation. Australas Radiol 2006 50(2):168-170.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Fallah A, Fehlings MG. Congenital ventral thoracic spinal cord herniation. Can J Neurol Sci 2010 37(2):271-272.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Imagama S, Matsuyama Y, Sakai Y. Image classification of idiopathic spinal cord herniation based on symptom severity and surgical outcome: a multicenter study. J Neurosurg Spine 2009 11(3):310-319.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Ewald C, Kühne D, Hassler WE. Progressive spontaneous herniation of the thoracic spinal cord: case report. Neurosurgery 2000 46(2):493-495.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Chaichana KL, Sciubba DM, Li KW, Gokaslan ZL. Surgical management of thoracic spinal cord herniation: technical consideration. J Spinal Disord Tech 2009 22(1):67-72.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Wada E, Yonenobu K, Kang J. Idiopathic spinal cord herniation: report of three cases and review of the literature. Spine 2000 25(15):1984-1988.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Ghostine S, Baron EM, Perri B. Thoracic cord herniation through a dural defect: description of a case and review of the literature. Surg Neurol 2009 71(3):362-366.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. Hernia

2. Magnetic Resonance Imaging

3. MRI

4. Spinal Cord Diseases

5. Thoracic Vertebrae


This article belongs to the Neuro section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports