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

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...

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Main Authors: Kumar Sanjeeva Shetty, Amit Awachat, Vikas Manohar Gupte, Shrinivas Prabhu
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-03-01
Series:Journal of Orthopedic and Spine Trauma
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Online Access:https://jost.tums.ac.ir/index.php/jost/article/view/598
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author Kumar Sanjeeva Shetty
Amit Awachat
Vikas Manohar Gupte
Shrinivas Prabhu
author_facet Kumar Sanjeeva Shetty
Amit Awachat
Vikas Manohar Gupte
Shrinivas Prabhu
author_sort Kumar Sanjeeva Shetty
collection DOAJ
description 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.
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issn 2538-2330
2538-4600
language English
publishDate 2025-03-01
publisher Tehran University of Medical Sciences
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series Journal of Orthopedic and Spine Trauma
spelling doaj-art-4265ffa857be46dca5a909523fa51e892025-08-20T01:57:39ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002025-03-0111110.18502/jost.v11i1.18012Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case ReportKumar Sanjeeva Shetty0Amit Awachat1Vikas Manohar Gupte2Shrinivas Prabhu3CONSULTANT SPINE SURGEONMS ORTHOPAEDICS,FELLOWSHIP IN SPINE SURGERYCONSULTANT SPINE SURGEONCONSULTANT SPINE SURGEON 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. https://jost.tums.ac.ir/index.php/jost/article/view/598Spinal cord herniationIdiopathic spinal cord herniationbrown sequard syndromeDural defectSpinal Cord kinkISCH
spellingShingle Kumar Sanjeeva Shetty
Amit Awachat
Vikas Manohar Gupte
Shrinivas Prabhu
Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case Report
Journal of Orthopedic and Spine Trauma
Spinal cord herniation
Idiopathic spinal cord herniation
brown sequard syndrome
Dural defect
Spinal Cord kink
ISCH
title Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case Report
title_full Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case Report
title_fullStr Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case Report
title_full_unstemmed Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case Report
title_short Idiopathic Thoracic Spinal Cord Herniation With Neurological Involvement In Operated Lumbar Spine Surgery - A Rare Case Report
title_sort idiopathic thoracic spinal cord herniation with neurological involvement in operated lumbar spine surgery a rare case report
topic Spinal cord herniation
Idiopathic spinal cord herniation
brown sequard syndrome
Dural defect
Spinal Cord kink
ISCH
url https://jost.tums.ac.ir/index.php/jost/article/view/598
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AT vikasmanohargupte idiopathicthoracicspinalcordherniationwithneurologicalinvolvementinoperatedlumbarspinesurgeryararecasereport
AT shrinivasprabhu idiopathicthoracicspinalcordherniationwithneurologicalinvolvementinoperatedlumbarspinesurgeryararecasereport