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CASE REPORT
Year : 2014  |  Volume : 1  |  Issue : 1  |  Page : 46-48

Idiopathic spinal cord herniation


1 Senior Resident, MRI Section, Department of Imaging, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
2 Consultant, MRI Section, Department of Imaging, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Makarand Kulkarni
Consultant, MRI Section, Department of Imaging, Lilavati Hospital and Research Centre, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10039-1010

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History: A 54-year-old female presented with complaints of backache since 6 to 8 months, weakness in both lower limbs and difficulty in walking. She had past history of cervical and lumbar decompression surgery. Imaging findings: On MRI, a focal kink was seen in the dorsal spinal cord at T8-T9 level. Anterior displacement of the spinal cord was also seen at this level with prominent posterior subarachnoid spaces. Along with other findings described, it was suggestive of idiopathic spinal cord herniation. Management: Management strategy along with the etiopathogenesis and differential diagnosis is described in the text. Conclusion: Despite the fact that MR imaging appearances of this entity are pathognomonic, missed diagnosis and misdiagnosis are common. Careful imaging study would avoid this.


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