Borges L F, Zervas N T, Lehrich J R
Neurosurgical Service, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Neurosurgery. 1995 May;36(5):1028-32; discussion 1032-3. doi: 10.1227/00006123-199505000-00023.
Symptomatic herniation of the spinal cord through the dura is an uncommon clinical problem. Since 1989, we have encountered three patients who each presented with an unexplained, longstanding Brown-Sequard syndrome and were found to have idiopathic herniation of the thoracic spinal cord. This report describes the clinical, radiographic, and surgical findings in these three patients and reviews the five previously reported patients with this syndrome. Idiopathic herniation of the spinal cord is a treatable cause of the Brown-Sequard syndrome that may be more common than is currently recognized and should be known to all surgeons managing spinal disorders.
脊髓通过硬脊膜发生有症状的疝出是一个不常见的临床问题。自1989年以来，我们遇到了三名患者，他们均表现为原因不明的、长期的布朗 - 色夸综合征，并且被发现患有胸段脊髓特发性疝出。本报告描述了这三名患者的临床、影像学和手术发现，并回顾了此前报道的五例患有该综合征的患者。脊髓特发性疝出是布朗 - 色夸综合征的一个可治疗病因，其可能比目前所认识到的更为常见，所有处理脊柱疾病的外科医生都应该了解这一点。
