{"id":"3d319bc9-2961-49fd-96af-70700aceca2f","slug":"the-pathophysiology-classification-treatment-and-prognosis-of-a-spontaneous-thoracic-spinal-cord-herniation-a-case-study-with-literature-review","title":"The pathophysiology, classification, treatment, and prognosis of a spontaneous thoracic spinal cord herniation: A case study with literature review","authors":["Rodrigo Becco De Souza","Guilherme Brasileiro De Aguiar","Jefferson Walter Daniel","José Carlos Esteves Veiga"],"abstract":"Background: Spinal cord herniation was first described in 1974. It generally occurs in middle-aged adults in the thoracic spine. Symptoms typically include back pain and progressive paraparesis characterized by Brown-Séquard syndrome. Surgical reduction of the hernia improves the attendant symptoms and signs, even in patients with longstanding deficits. Case Description: A 66-year-old female with back pain for 7 years, accompanied by paresthesias and a progressive paraparesis, underwent a thoracic MRI which documented a ventral spinal cord herniation at the T4 level. Following a laminectomy, with reduction of the hernia and ventral dural repair, the patient improved. Conclusion: Herniation of the thoracic cord, documented on MR, may produce symptomatic paraparesis which may resolve following laminectomy with ventral dural repair.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/3d319bc9-2961-49fd-96af-70700aceca2f/featured/hero-1782420941727.png","publishDate":"2014-12-30T00:00:00.000Z","doi":"10.4103/2152-7806.148042","categories":["Original Article"],"fullTextUrl":"http://sni.wpengine.com/wp-content/uploads/2015/05/5899/SNI-5-564.pdf"}