Abstract
Idiopathic transdural spinal cord herniation (ICSH), a rare condition which may cause
progressive myelopathy, can be diagnosed preoperatively by MRI. Surgical treatment
usually results in the resolution of symptoms and, thus, familiarity with the imaging
findings in this condition impacts patient management. We present the case of a 36-year-old
woman in whom the initial MRI findings were thought to be consistent with only an
arachnoid cyst compressing the spinal cord. After surgery, her symptoms remained unchanged,
and a repeat MRI study was interpreted as being compatible with a transdural spinal
cord herniation. Repeated surgery with reduction of the herniation resulted in significant
clinical improvement.
Keywords
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Article info
Publication history
Published online: December 02, 2004
Accepted:
September 10,
2004
Received:
September 5,
2004
Identification
Copyright
© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
