Ventral cord herniation

Case contributed by Dr Ankit Balani

Presentation

47-year-old female presented to outpatient department of our hospital with history of backache for 3 months. There was no evidence of motor / sensory deficits.

Patient Data

Age: 47 years
Gender: Female

MRI Spine

Modality: MRI

D3 - D4 level shows anteriorly displaced spinal cord with loss of anterior CSF column. There is prominent extramedullary CSF space with posterior flattening of the cord at this level leading to a focal contour change associated with T2 hyperintensity within the cord. Normal CSF signal intensity noted posterior to spinal cord.

Case Discussion

MRI showed focal anterior herniation of spinal cord at D3-D4 level with posterior flattening of spinal cord. These imaging findings suggest the diagnosis of ventral cord herniation, also known as idiopathic spinal cord herniation. 

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Case Information

rID: 32948
Case created: 22nd Dec 2014
Last edited: 5th Dec 2015
Inclusion in quiz mode: Included

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