• Eur Spine J · May 2013

    Case Reports

    Posterior spinal cord herniation: a novel occurrence following surgery for an intramedullary cyst at the thoracolumbar junction.

    • Rasheed Zakaria, Jonathan R Ellenbogen, Ishvinder S Grewal, and Neil Buxton.
    • Department of Neurosurgery, The Walton Centre NHS Trust, Lower Lane, Fazakerley, Liverpool, L9 7LJ, UK. rzakaria@nhs.net
    • Eur Spine J. 2013 May 1;22 Suppl 3:S399-403.

    BackgroundDorsal herniation of the spinal cord through the dura is an uncommon phenomenon and this is only the fifth reported case in the thoracolumbar spine, the first following surgery at the thoracolumbar junction.CaseA 57-year-old male underwent marsupialisation of a benign intramedullary cyst at the T12-L1 level and subsequently returned with symptoms of dorsal column compromise. He was found to have a posterior herniation of the cord into a pseudomeningocele at the level of the previous surgery.ConclusionThe hernia was reduced surgically and the defect closed directly without the need for a dural patch leading to a full recovery. Posterior cord herniation, its possible aetiologies and management strategies are discussed.

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