Idiopathic herniation of the thoracic spinal cord: an often mis-diagnosed clinical entity

Idiopathic herniation of the thoracic spinal cord

an often mis-diagnosed clinical entity

Authors

  • Giuseppe Runza Department of Radiology, ASP Siracusa
  • Erica Maffei Department of Radiology, Area Vasta 1, ASUR Marche
  • Filippo Cademartiri SDN IRCCS, Naples

Keywords:

Idiopathic Spinal Cord Herniation, Brown-Séquard Syndrome, Magnetic Resonance Imaging

Abstract

Since 1974, when Wortzman et al were the first to describe a case of idiopathic spinal cord herniation (ISCH), the number of reported cases has increased owing to magnetic resonance imaging (MRI) now is routinely available for patients with myelopathy and spinal surgeons are becoming more familiar with this clinical entity. This extremely rare herniation occurs exclusively in the thoracic spine, causing slowly progressive myelopathy. Diagnosis is based on ventral displacement of the spinal cord in the thoracic spine. MRI is the technique of choice to exclude a posterior arachnoid cyst, the most common mistaken diagnosis, and to recognize a spinal cord herniation when an anterior dural defect is present. A case of ISCH is reported and a Literature review of this clinical entity often mis-diagnosed has been obtained.

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Published

30-04-2021

How to Cite

1.
Runza G, Maffei E, Cademartiri F. Idiopathic herniation of the thoracic spinal cord: an often mis-diagnosed clinical entity . Acta Biomed [Internet]. 2021 Apr. 30 [cited 2024 Jul. 24];92(S1):e2021143. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9947