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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 264-266
DOI: 10.1055/s-0042-1760283
Case Report

Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury

Jay Patel
1   Department of Neuroradiology, The Walton Centre, Liverpool, United Kingdom
,
James Stewart
2   Department of Neurosurgery, The Walton Centre, Liverpool, United Kingdom
,
Shubhabrata Biswas
1   Department of Neuroradiology, The Walton Centre, Liverpool, United Kingdom
,
Sarsam Zaid
2   Department of Neurosurgery, The Walton Centre, Liverpool, United Kingdom
› Institutsangaben Funding None.
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Abstract

Background Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management.

Case Presentation A 44-year-old male presented with Brown-Sequard syndrome three decades after a cervical nerve root avulsion injury. Imaging revealed hemicord herniation into a C7/T1 pseudomeningocele in addition to extra-axial cord compression from further pseudomeningoceles. Significant clinical improvement was achieved following surgical repair. The radiological findings and technique for operative repair are described.

Conclusion The case highlights this rare pathology and presentation, describes the surgical measures for repair of cord herniation, and provides evidence for the favorable outcome that can be achieved by surgical intervention.

Keywords

pseudomeningocele - herniation - spinal cord - trauma


Publikationsverlauf

Artikel online veröffentlicht:
31. Januar 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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