Document Detail


Imaging findings in patients with ventral dural defects and herniation of neural tissue.
MedLine Citation:
PMID:  9377512     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this paper is to describe clinical and imaging findings in three patients with ventral dural defects and herniation of the spinal cord or cauda equina. The literature is reviewed and the clinical, radiological and operative findings are compared. Three patients with ventral dural defects of different etiologies are presented. One patient gave a longstanding history of ankylosing spondylitis, the second patient presents 37 years after spinal trauma, and the third patient presents with spontaneous spinal cord herniation. All patients had typically slowly progressive neurological symptoms with multiple hospitalizations until diagnosis was made. Characteristic findings in postmyelographic CT included a ventral or ventrolateral displacement with deformation of the spinal cord or the cauda equina. Sagittal MRI showed this abrupt and localized anterior deviation of the spinal cord or the cauda equina to the posterior portions of a vertebral body with or without a bony vertebral defect optimally. Additionally, due to the ventral displacement of the spinal cord, the dorsal subarachnoid space was relatively enlarged without evidence of an arachnoid cyst, in all patients. Magnetic resonance imaging and postmyelographic CT can diagnose ventral dural defects with spinal cord herniation or nerve root entrapment. Dural defects must be considered in the presence of neurological symptoms in cases of longstanding ankylosing spondylitis, late sequelae of fractures of vertebral bodies, and without history of spinal trauma or surgery.
Authors:
A Baur; A Stäbler; K Psenner; C Hamburger; M Reiser
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European radiology     Volume:  7     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  1997  
Date Detail:
Created Date:  1997-11-12     Completed Date:  1997-11-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  1259-63     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, Klinikum Grosshadern, Ludwig-Maximilians-Universität, Marchioninistrasse 15, D-81 377 Munich, Germany.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cauda Equina*
Diagnostic Imaging
Dura Mater*
Female
Hernia / diagnosis,  etiology
Humans
Lumbar Vertebrae / injuries
Male
Middle Aged
Nerve Compression Syndromes / diagnosis,  etiology
Peripheral Nervous System Diseases / diagnosis,  etiology
Spinal Cord Diseases / diagnosis*,  etiology
Spinal Fractures / complications
Spondylitis, Ankylosing / complications

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