{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:45:07Z","timestamp":1792291507836,"version":"4.4.0"},"reference-count":46,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,4,15]]},"published-print":{"date-parts":[[2019,5,21]]},"abstract":"<jats:p>Idiopathic Spinal Cord Herniation (ISCH) is considered to be a rare cause of Thoracic Myelopathy. It is secondary to the gliding of the Spinal Cord through an anterior dural defect, without a completely defined cause. We present a case of ISCH which, even though was in its usual location, developed in a woman at a younger age than expected. The patient was 20 years old when diagnosed with Brown-S\u00e9quard Syndrome. MRI showed herniation at T4-T5 level, which was corrected using a posterior approach to expose the dural defect, reduce the herniation and place a heterologous graft. Postoperatively, neurological function improved, and adequate reduction was seen on imaging. Given the reports of recurrence and deterioration that have been seen after 18 months, follow-up was prolonged for a total of 2 years. We consider postoperative MRI performance important to establish the degree of reduction and alignment of the Spinal Cord.<\/jats:p>","DOI":"10.1136\/bcr-2018-227847","type":"journal-article","created":{"date-parts":[[2019,5,22]],"date-time":"2019-05-22T07:17:37Z","timestamp":1558509457000},"page":"e227847","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Thoracic idiopathic spinal cord herniation in a young patient: a diagnostic and therapeutic challenge"],"prefix":"10.1136","volume":"12","author":[{"given":"D","family":"Gomez-Amarillo","sequence":"first","affiliation":[{"name":"Department of Surgery, Neurosurgery Section, Hospital Universitario Fundacion Santa Fe de Bogota, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Garcia-Baena","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Section, Hospital Universitario Fundacion Santa Fe de Bogota, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Volcinschi-Moros","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Section, Hospital Universitario Fundacion Santa Fe de Bogota, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Hakim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Neurosurgery Section, Hospital Universitario Fundacion Santa Fe de Bogota, Bogota, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,5,21]]},"reference":[{"key":"2025082710513442000_12.5.e227847.1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1974.41.5.0631"},{"key":"2025082710513442000_12.5.e227847.2","doi-asserted-by":"crossref","first-page":"476","DOI":"10.3389\/fneur.2017.00476","article-title":"The Pathogenesis of Ventral Idiopathic Herniation of the Spinal Cord: A Hypothesis Based on the Review of the Literature","volume":"8","author":"Bartels","year":"2017","journal-title":"Front Neurol"},{"key":"2025082710513442000_12.5.e227847.3","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000229247.69171.a1"},{"key":"2025082710513442000_12.5.e227847.4","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1080\/10790268.2009.11760757","article-title":"Idiopathic spinal cord herniation: case report and review of the literature","volume":"32","author":"Sasani","year":"2009","journal-title":"J Spinal Cord Med"},{"issue":"3 Suppl","key":"2025082710513442000_12.5.e227847.5","first-page":"145","article-title":"Operative treatment of anterior thoracic spinal cord herniation: three new cases and an individual patient data meta-analysis of 126 case reports","volume":"64","author":"Groen","year":"2009","journal-title":"Neurosurgery"},{"key":"2025082710513442000_12.5.e227847.6","doi-asserted-by":"crossref","first-page":"114","DOI":"10.3171\/2011.10.SPINE11109","article-title":"The value of intraoperative motor evoked potential monitoring during surgical intervention for thoracic idiopathic spinal cord herniation","volume":"16","author":"Novak","year":"2012","journal-title":"J Neurosurg Spine"},{"key":"2025082710513442000_12.5.e227847.7","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1007\/s00701-016-2840-2","article-title":"Surgical management of thoracic idiopathic spinal cord herniation. 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