• World Neurosurg · Jan 2018

    Case Reports

    Transdural spinal cord herniation: tips and tricks.

    • Bernard Florian, Le Fournier Luc, Menei Philippe, Lemee Jean-Michel, and Henri-Dominique Fournier.
    • Department of Neurosurgery, Laboratory of Anatomy, Angers, France. Electronic address: bernardflorian.bf@gmail.com.
    • World Neurosurg. 2018 Jan 1; 109: 242-246.

    AbstractRecognition of transdural spinal cord herniation has increased over the past decade. This condition remains little known, particularly outside the specialized fields of spinal surgery and neuroradiology, leading to a significant delay in clinical diagnosis and treatment. It should be considered among the differential diagnoses in patients with gradual-onset lower-limb weakness of presumed spinal origin. Reaching a diagnosis using magnetic resonance imaging is essential to refer patients for surgery before their myelopathy worsens. We describe our surgical experience to untether the spinal cord by wrapping a dura graft around the spinal cord. Three case reports and a review of the literature are discussed.Copyright © 2017 Elsevier Inc. All rights reserved.

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