Imai Tasuku, Nakane Yukimi, Tachibana Eiji, Ogura Koichiro
Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan ; Department of Neurosurgery, Toyota Kosei Hospital, Toyota, Japan.
Department of Neurosurgery, Toyota Kosei Hospital, Toyota, Japan.
Nagoya J Med Sci. 2015 Aug;77(3):515-20.
Spinal cord herniation (SCH) is a rare disease characterized by herniation of the thoracic spinal cord through an anterior dural defect, presenting with progressive myelopathy. A case of a 69-year-old woman who presented with Brown-Sequard syndrome and a bone defect, in which an osteophyte created a hemisphere-like cavity with spinal cord herniation, is presented. The strangled spinal cord was released, and the defect was closed microsurgically using an artificial dural patch to prevent re-herniation. Postoperatively, the patient experienced gradual improvement in neurologic function. The SCH mechanism and surgical strategy are discussed.
脊髓疝（SCH）是一种罕见疾病，其特征为胸段脊髓通过硬脊膜前方缺损处疝出，表现为进行性脊髓病。本文报告一例69岁女性患者，该患者表现为布朗-塞卡尔综合征及骨缺损，其中骨赘形成一个类似半球形的腔隙并伴有脊髓疝。对受压的脊髓进行了解压，并使用人工硬脊膜补片进行显微手术闭合缺损以防止再次疝出。术后，患者神经功能逐渐改善。文中还讨论了脊髓疝的机制及手术策略。
