A Rare Case of Idiopathic Spinal Cord Herniation Treated by DuraGen® Collagen Matrix Graft

Maho Kamamura, Fumiyo Higaki, Susumu Sasada, Toshi Matsushita, Takao Yasuhara, Isao Date, Takao Hiraki

Research output: Contribution to journalArticlepeer-review

Abstract

We report a rare case of idiopathic spinal cord herniation (ISCH) with a history of cerebrospinal fluid (CSF) leakage. ISCH is a protrusion of the spinal cord through a dural defect. Thin constructive interference in steady-state (CISS) images clearly demonstrated the herniated cord in the present case. The myelopathy worsened and the patient underwent surgery for reduction of herniated spinal cord; the dural defect was filled by placing collagen matrix graft (DuraGen®) between the inner and outer dural layers. The patient's symptoms have improved without relapse for 8 months since surgery. This method may be a good surgical option for cases of spinal cord herniation.

Original languageEnglish
Pages (from-to)731-736
Number of pages6
JournalActa medica Okayama
Volume76
Issue number6
DOIs
Publication statusPublished - Dec 1 2022

Keywords

  • cerebrospinal fluid leakage
  • collagen matrix graft
  • constructive interference in steady state
  • magnetic resonance image
  • spinal cord herniation

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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