Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case Report

Abstract

Background: Idiopathic spinal cord herniation (ISCH) is rare ,often misdiagnosed condition without clear pathogenesis with slowly of progressive thoracic compressive myelopathy.There are less than 200 cases documented in literature.As the diagnosis is often delayed, patient may undergo unnecessary investigation which may lead to irreversible progressive neurological deterioration before confirming diagnosis. In delayed diagnosis even after surgical intervention, patients prognosis is guarded.

Keywords:Spinal cord herniation, Idiopathic spinal cord herniation, brown sequard syndrome,Dural defect, Spinal Cord kink, ISCH

Case Description: We present a case of 56 yrs old female wih gradually worsening myelopathy with mainly lower limb sensory-motor symptoms.

Conclusion: The patient with ISCH with neurologic deficit if diagnosed and treated early with surgical intervention results in good prognostic outcome.