Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Spontaneous Thoracic Spinal Cord Herniation - Case Report -

자발성 흉추부 척수 탈출증 - 증례보고 -

  • Kim, Young Jin (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Kim, Young Soo (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Kim, Ju Hun (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Yi, Hyeong Joong (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Ko, Yong (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Oh, Sung Hun (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Kim, Kwang Myung (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Oh, Suck Jun (Department of Neurosurgery, College of Medicine, Hanyang University)
  • 김영진 (한양대학교 의과대학 신경외과학교실) ;
  • 김영수 (한양대학교 의과대학 신경외과학교실) ;
  • 김주헌 (한양대학교 의과대학 신경외과학교실) ;
  • 이형중 (한양대학교 의과대학 신경외과학교실) ;
  • 고용 (한양대학교 의과대학 신경외과학교실) ;
  • 오성훈 (한양대학교 의과대학 신경외과학교실) ;
  • 김광명 (한양대학교 의과대학 신경외과학교실) ;
  • 오석전 (한양대학교 의과대학 신경외과학교실)
  • Received : 2001.04.26
  • Accepted : 2001.07.12
  • Published : 2001.10.28
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Abstract

Spontaneous herniation of the spinal cord is a very rare. It's clinical symptom presents with progressive myelopathy. A 42-year old male patient who presented the progressive left leg weakness and Brown-Seqaurd syndrome is presented. MRI showed a typical finding of dural defect and herniation of the cord on the level of T3-4. Repair of dural defect using an artificial dura and reposition of cord herniation were undertaken after three level laminectomies with SSEP monitoring. Postoperatively, symptoms were improved rapidly. In our knowledgement, this is first case being reported in Korea. This entity, although rare, should be considered in the differential diagnosis of myelopathy in the absence of a mass lesion.

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