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In three cases,transdural spinal cord herniation occurred posttraumatically,in one case the cause was iatrogenic and in the others the herniation occurred spontaneously.Imaging features not previously reported include dorsally directed herniations at thoracolumbar levels(two patients),apparent(lacking surgical confirmation)syringomeyelia(one case), a vertebral body nuclear trail sign(one case),and intramedullary hyperintensities on MR images(two cases).Clinical features not previously reported include unilateral pyramidal-sensory deficits(one case)and isolated unilateral pyramidal signs(one case).Clinical findings similar to previous reports include progressive paraparesis(two cases)and progressive Brown-Sequard syndrome(one case).Our five cases illustrate certain clinical and imaging findings not previously reported,and,together with the established features of the 25 cases in the literature,delineate the spectra of transdural spinal cord herniation. |
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Brown Sequard syndrome CAT scan CAT scan,abnormal CAT scan,myelogram with CAT scan,spinal cord CAT scan,spine MRI MRI,abnormal MRI,high signal foci on MRI,spinal cord MRI,spinal cord,increased intramedullary cord signal MRI,spine myelomalacia myelopathy myelopathy,chronic progressive neurologic signs paraparesis,spastic prognosis review article spinal cord,herniation spinal cord,lesion of trauma treatment of neurologic disorder
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