Late onset Post-traumatic Spinal Cord Herniation as a Rare and an

World Neurosurg · Oct 2020

Review Case Reports

Late onset Post-traumatic Spinal Cord Herniation as a Rare and an Overlooked Cause of Late Neurological Deterioration following Penetrating Injury to The Thoracic Spine: A Case Report and Review of Literature.

We report a case of an 18-year-old patient who presented with late progressive deterioration of neurologic condition 8 weeks after a penetrating injury to the back. Investigations revealed a dorsally located post-traumatic spinal cord herniation. Urgent exploration, decompression, and repair were performed. We reviewed the literature and found only 19 similar cases previously reported. Pathophysiology and presentations were variable and even poorly understood. ⋯ Late-onset post-traumatic spinal cord herniation is a potentially curable cause of neurologic deterioration after spinal trauma and should be considered in all cases with late neurologic deterioration after spinal trauma.

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- Mohamed Eltoukhy and Christos Gkolemis.
- Neurosurgery Department, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom. Electronic address: Mohamed.eltoukhy@uhnm.nhs.uk.
- World Neurosurg. 2020 Oct 1; 142: 408-412.
Background And Case DescriptionWe report a case of an 18-year-old patient who presented with late progressive deterioration of neurologic condition 8 weeks after a penetrating injury to the back. Investigations revealed a dorsally located post-traumatic spinal cord herniation. Urgent exploration, decompression, and repair were performed. We reviewed the literature and found only 19 similar cases previously reported. Pathophysiology and presentations were variable and even poorly understood.ConclusionsLate-onset post-traumatic spinal cord herniation is a potentially curable cause of neurologic deterioration after spinal trauma and should be considered in all cases with late neurologic deterioration after spinal trauma.Copyright © 2020 Elsevier Inc. All rights reserved.

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Late onset Post-traumatic Spinal Cord Herniation as a Rare and an Overlooked Cause of Late Neurological Deterioration following Penetrating Injury to The Thoracic Spine: A Case Report and Review of Literature.

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