Intradural herniated cervical disc

Roda, J.M.; González, Cesáreo; Blázquez, Martín G.; Alvarez, Marcelino P.; Argüello, C

doi:10.3171/jns.1982.57.2.0278

Cited by 38 publications

(17 citation statements)

References 6 publications

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“…A review of the literature indicates that intradural herniation seems to be associated with an incomplete neurological recovery more often than extradural herniation, because the intradural fragment can directly cause ipsilateral spinal cord damage 3,[5][6][7]10,19,22,23) . Despite the scattered reports of BSS resulting from CDH, the authors are convinced that anterior discectomy or corpectomy with fusion can be the standard surgical modality, because they allow easier exposure, and good decompression, of the pathology, as well as less frequent epidural bleeding, than the posterior approach.…”

Section: Discussionmentioning

confidence: 99%

“…BSS may be caused by traumatic injuries to the spinal cord (e.g., a puncture wound to the neck or back), spinal cord tumors, spinal cord ischemia, infectious or inflammatory diseases (tuberculosis or multiple sclerosis), spontaneous cervical hemorrhages, and degenerative cervical disease (cervical spondylosis and ossification of the posterior longitudinal ligament) 2,11,[16][17][18][19][20] . However, cervical disc herniation (CDH) as a cause of BSS is very rare, and only 32 cases have been reported in the English language literature up to now.…”

Section: Introductionmentioning

confidence: 99%

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Cervical Disc Herniation as a Cause of Brown-Séquard Syndrome

Choi

Lee

Chung

et al. 2009

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 46 : [505][506][507][508][509][510] 2009 The possible causes of Brown-Séquard Syndrome (BSS) have been frequently observed with spinal trauma and extramedullary spinal tumors, but the cervical disc herniation to cause BSS is rare. The authors present five cases of patients who were diagnosed with BSS resulting from cervical disc herniation, and the results of the literature in view of their distinctive symptoms and clinical outcomes. Postoperatively, the patients showed complete or almost complete recovery from their motor and sensory deficits. On the basis of our cases, it is important to diagnose it early by cervical magnetic resonance imaging, especially in the absence of the typical symptoms of cervical disc herniation or other obvious etiology of extremity numbness. Immediate surgical treatment is also essential for a favorable functional neurological recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cervical Disc Herniation as a Cause of Brown-Séquard Syndrome

Choi

Lee

Chung

et al. 2009

J Korean Neurosurg Soc

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“…All patients were surgically treated with laminectomy 4,5) or hemilaminectomy 16) , with anterior discectomy without interbody fusion 6,19) , and with anterior discectomy or corpectomy followed by interbody fusion 3) . In our case, the largest portion of the disc herniation was central, and we performed an anterior C3-C4 discectomy with microsurgical decompression of dura covering roots and spinal cord.…”

Section: Discussionmentioning

confidence: 99%

Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome

Kim

Bong

Chung

et al. 2009

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 45 : [312][313][314] 2009 Brown-Sequard syndrome may be the result of penetrating injury to the spine, but many other etiologies have been described. This syndrome is most commonly seen with spinal trauma and extramedullary spinal neoplasm. A herniated cervical disc has been rarely reported as a cause of this syndrome. We present a case of a 28-year-old male patient diagnosed as large C3-C4 disc herniation with spinal cord compression. He presented with left hemiparesis and diminished sensation to pain and temperature in the right side below the C4 dermatome. Microdiscectomy and anterior cervical fusion with carbon fiber cage containing a core of granulated coralline hydroxyapatite was performed. After the surgery, rapid improvement of the neurologic deficits was noticed. We present a case of cervical disc herniation producing acute Brown-Sequard syndrome with review of pertinent literature.

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“…As the first three cases of BSS caused by cervical disc herniation reported by Stookey 12 in 1928, we could find only 26 cases of BSS caused by cervical disc herniation in the literature. [1][2][3][5][6][7][8][9][10][11][12][13][14][15][16] (Table 1). Among these 29 cases including ours, there were 20 male subjects and nine female subjects, whose ages ranged from 25-73 years (mean 45.6 years).…”

Section: Discussionmentioning

confidence: 99%

Brown–Sequard syndrome produced by cervical disc herniation with complete neurologic recovery: report of three cases and review of the literature

Kim

2007

Spinal Cord

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Study design: Case report. Objective: To report three cases of Brown-Sequard syndrome (BSS) associated with cervical disc herniation. Method: We describe clinical and radiographic review of three patients who presented with BSS caused by cervical disc herniation. Three patients presented with ipsilateral motor weakness and diminished sensation to pain and temperature on the contralateral side. Magnetic resonance images of the cervical spine in all cases, showed a large paramedian disc herniation at C5-C6, with ipsilateral severe spinal cord compression. Microsurgical removal of the herniated disc via anterior foraminotomy was performed and complete decompression of the spinal cord was achieved. Results: Postoperatively, the neurological symptoms recovered rapidly with a complete remission of their symptoms. Conclusion: Although BSS is rarely associated with degenerative cervical spine disease, cervical disc herniation should be kept in mind and prompt evaluation is indicated. Anterior foraminotomy suffices for spinal cord decompression with improvement of the neurological function.

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Intradural herniated cervical disc

Abstract: ✓ An unusual case is presented in which a fragment of cervical disc was found within the dura. The literature has been reviewed and only two similar cases, which are described, have been found. The pathogenic factors of the lesion are discussed.

Cited by 38 publications

References 6 publications

Cervical Disc Herniation as a Cause of Brown-Séquard Syndrome

Cervical Disc Herniation as a Cause of Brown-Séquard Syndrome

Cervical Disc Herniation Producing Acute Brown-Sequard Syndrome

Brown–Sequard syndrome produced by cervical disc herniation with complete neurologic recovery: report of three cases and review of the literature

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