Tags

Type your tag names separated by a space and hit enter

Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner's syndrome: lesson learned from a very unique case.
Eur Spine J. 2017 05; 26(Suppl 1):218-221.ES

Abstract

PURPOSE

Cervical spontaneous intradural disc herniation (IDH) is an extremely rare condition. We describe a unique case of a patient presenting with a Brown-Séquard syndrome (BSS) and Horner's syndrome (HS). This study aimed to report an unusual case of spontaneous cervical intradural disc herniation that presented with Horner's and Brown-Séquard syndrome (BSS) and discuss difficulties in preoperative diagnosis and treatment difficulties of intradural cervical disc.

METHODS

Notes and images review, and analysis of the relevant literature.

RESULTS

A 45-year old female presented with acute Horner's syndrome and Brown-Séquard syndrome. The magnetic resonance imaging of cervical spine revealed C4-5 disc extrusion with cord compression. The patient underwent urgent decompression through an anterior cervical corpectomy and fusion. Patient fully recovered 6 months after disease onset.

CONCLUSION

We would like to emphasize that prompt and anterior cervical decompression is the treatment of choice, as it directly address the problem and allows dura repair in spontaneous cervical disc herniation.

Authors+Show Affiliations

Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Trust, Queen Square, London, WC1N 3BG, UK. Irene.baudracco@gmail.com.Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Trust, Queen Square, London, WC1N 3BG, UK.Victor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Trust, Queen Square, London, WC1N 3BG, UK.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

28343313

Citation

Baudracco, Irene, et al. "Spontaneous Cervical Intradural Disc Herniation Presenting With Brown-Séquard and Horner's Syndrome: Lesson Learned From a Very Unique Case." European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, vol. 26, no. Suppl 1, 2017, pp. 218-221.
Baudracco I, Grahovac G, Russo VM. Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner's syndrome: lesson learned from a very unique case. Eur Spine J. 2017;26(Suppl 1):218-221.
Baudracco, I., Grahovac, G., & Russo, V. M. (2017). Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner's syndrome: lesson learned from a very unique case. European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 26(Suppl 1), 218-221. https://doi.org/10.1007/s00586-017-5044-4
Baudracco I, Grahovac G, Russo VM. Spontaneous Cervical Intradural Disc Herniation Presenting With Brown-Séquard and Horner's Syndrome: Lesson Learned From a Very Unique Case. Eur Spine J. 2017;26(Suppl 1):218-221. PubMed PMID: 28343313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Spontaneous cervical intradural disc herniation presenting with Brown-Séquard and Horner's syndrome: lesson learned from a very unique case. AU - Baudracco,Irene, AU - Grahovac,Gordan, AU - Russo,Vittorio M, Y1 - 2017/03/25/ PY - 2016/11/30/received PY - 2017/03/11/accepted PY - 2017/01/29/revised PY - 2017/3/28/pubmed PY - 2018/1/6/medline PY - 2017/3/27/entrez KW - Brown-Séquard syndrome KW - Cervical corpectomy KW - Horner’s syndrome KW - OPLL KW - Spontaneous intradural cervical disc herniation SP - 218 EP - 221 JF - European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society JO - Eur Spine J VL - 26 IS - Suppl 1 N2 - PURPOSE: Cervical spontaneous intradural disc herniation (IDH) is an extremely rare condition. We describe a unique case of a patient presenting with a Brown-Séquard syndrome (BSS) and Horner's syndrome (HS). This study aimed to report an unusual case of spontaneous cervical intradural disc herniation that presented with Horner's and Brown-Séquard syndrome (BSS) and discuss difficulties in preoperative diagnosis and treatment difficulties of intradural cervical disc. METHODS: Notes and images review, and analysis of the relevant literature. RESULTS: A 45-year old female presented with acute Horner's syndrome and Brown-Séquard syndrome. The magnetic resonance imaging of cervical spine revealed C4-5 disc extrusion with cord compression. The patient underwent urgent decompression through an anterior cervical corpectomy and fusion. Patient fully recovered 6 months after disease onset. CONCLUSION: We would like to emphasize that prompt and anterior cervical decompression is the treatment of choice, as it directly address the problem and allows dura repair in spontaneous cervical disc herniation. SN - 1432-0932 UR - https://www.unboundmedicine.com/medline/citation/28343313/Spontaneous_cervical_intradural_disc_herniation_presenting_with_Brown_Séquard_and_Horner's_syndrome:_lesson_learned_from_a_very_unique_case_ L2 - https://doi.org/10.1007/s00586-017-5044-4 DB - PRIME DP - Unbound Medicine ER -