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Intradural cervical disc herniation and Brown-Séquard's syndrome. Report of three cases and review of the literature.
J Neurosurg. 2000 Apr; 92(2 Suppl):236-40.JN

Abstract

Although cervical disc herniation commonly requires surgical intervention, the intradural sequestration of a herniated cervical disc fragment is rare. In searching the world literature on this topic, the authors found six case reports. They report three new cases of intradural cervical disc herniation in which the patients presented with Brown-Séquard's syndrome and they review the literature. Although Brown-Séquard's syndrome is a rare clinical finding in extradural disc herniation, six of the nine patients with intradural cervical disc herniation (our cases and those from the literature) presented with symptoms of this syndrome. The remaining patients presented with para- or quadriparesis. This suggests that intradural disc herniation should be considered preoperatively in patients in whom there is magnetic resonance imaging or myelographic evidence of cervical disc herniation and Brown-Séquard's syndrome. In patients who underwent anterior cervical discectomy for the treatment of intradural cervical disc herniations, better outcomes were demonstrated than in those in whom posterior procedures were performed.

Authors+Show Affiliations

Department of Neurological Surgery, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

10763701

Citation

Clatterbuck, R E., et al. "Intradural Cervical Disc Herniation and Brown-Séquard's Syndrome. Report of Three Cases and Review of the Literature." Journal of Neurosurgery, vol. 92, no. 2 Suppl, 2000, pp. 236-40.
Clatterbuck RE, Belzberg AJ, Ducker TB. Intradural cervical disc herniation and Brown-Séquard's syndrome. Report of three cases and review of the literature. J Neurosurg. 2000;92(2 Suppl):236-40.
Clatterbuck, R. E., Belzberg, A. J., & Ducker, T. B. (2000). Intradural cervical disc herniation and Brown-Séquard's syndrome. Report of three cases and review of the literature. Journal of Neurosurgery, 92(2 Suppl), 236-40.
Clatterbuck RE, Belzberg AJ, Ducker TB. Intradural Cervical Disc Herniation and Brown-Séquard's Syndrome. Report of Three Cases and Review of the Literature. J Neurosurg. 2000;92(2 Suppl):236-40. PubMed PMID: 10763701.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intradural cervical disc herniation and Brown-Séquard's syndrome. Report of three cases and review of the literature. AU - Clatterbuck,R E, AU - Belzberg,A J, AU - Ducker,T B, PY - 2000/4/14/pubmed PY - 2000/4/29/medline PY - 2000/4/14/entrez SP - 236 EP - 40 JF - Journal of neurosurgery JO - J. Neurosurg. VL - 92 IS - 2 Suppl N2 - Although cervical disc herniation commonly requires surgical intervention, the intradural sequestration of a herniated cervical disc fragment is rare. In searching the world literature on this topic, the authors found six case reports. They report three new cases of intradural cervical disc herniation in which the patients presented with Brown-Séquard's syndrome and they review the literature. Although Brown-Séquard's syndrome is a rare clinical finding in extradural disc herniation, six of the nine patients with intradural cervical disc herniation (our cases and those from the literature) presented with symptoms of this syndrome. The remaining patients presented with para- or quadriparesis. This suggests that intradural disc herniation should be considered preoperatively in patients in whom there is magnetic resonance imaging or myelographic evidence of cervical disc herniation and Brown-Séquard's syndrome. In patients who underwent anterior cervical discectomy for the treatment of intradural cervical disc herniations, better outcomes were demonstrated than in those in whom posterior procedures were performed. SN - 0022-3085 UR - https://www.unboundmedicine.com/medline/citation/10763701/Intradural_cervical_disc_herniation_and_Brown_Séquard's_syndrome__Report_of_three_cases_and_review_of_the_literature_ L2 - https://thejns.org/doi/10.3171/spi.2000.92.2.0236 DB - PRIME DP - Unbound Medicine ER -