neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.63769/1683-3295-2015-0-1-82-86neurosurgery-150Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEИДИОПАТИЧЕСКАЯ ГРЫЖА СПИННОГО МОЗГА НА УРОВНЕ ГРУДНОГО ОТДЕЛА ПОЗВОНОЧНИКА: КЛИНИЧЕСКОЕ НАБЛЮДЕНИЕ И ОБЗОР ЛИТЕРАТУРЫThe idiopathic myelocele at the level of thoracic spine: case report and literature reviewРазмахнинаАнжелика ВладимировнаRazmakhninaA. V.razang@mail.ru; a_razmahnina@neuronsk.ruКлимовВладимир СергеевичKlimovV. S.noemail@neicon.ruЧищинаНина ВладимировнаChishchinaN. V.noemail@neicon.ruВоронинаЕвгения ИгоревнаVoroninaE. I.noemail@neicon.ruФГБУ «Федеральный центр нейрохирургии» Министерства здравоохранения РФRussian Federation201505102017018286Copyright © Размахнина А.В., Климов В.С., Чищина Н.В., Воронина Е.И., 20172017Размахнина А.В., Климов В.С., Чищина Н.В., Воронина Е.И.Razmakhnina A.V., Klimov V.S., Chishchina N.V., Voronina E.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/150

Представлено клиническое наблюдение хирургического лечения идиопатической грыжи спинного мозга на уровне грудного отдела позвоночника. Идиопатические грыжи спинного мозга - это редкая патология, которая является причиной постепенного прогрессирования миелопатии. Клинические проявления этого заболевания во всех, ранее рассматриваемых, случаях одинаковы; однако, патогенез и этиология до сих пор не выяснены. При хирургическом лечении в большинстве наблюдений достигнут хороший результат в виде устранения компрессии спинного мозга и регресса неврологического дефицита.

The clinical case of surgical treatment of idiopathic myelocele at the level of thoracic spine is presented. The idiopathic myelocele is the rare pathology, which leads to gradual progression of myelopathy. The clinical signs of this disease in all previously described observations are similar however the pathogenesis and etiology are not clear until the present. The good functional outcome in terms of elimination of spinal cord compression and regress of neurological deficit was achieved in the most clinical cases surgically treated.

идиопатические грыжи спинного мозгамагнитно-резонансная томографиямиелопатиясиндром Броун-Секараidiopathic myelocelemagnetic resonance imagingmyelopathyBrown-Sequard syndromeReferencesEvzikov G.Yu., Egorov O.E., Kushel’ Yu.V. The surgical treatment of idiopathic myelocele (clinical case and literature review). The Russian Journal of Neurosurgery. 2011; 3: 59-64 (in Russian).Evzikov G.Yu., Egorov O.E., Kushel’ Yu.V. The surgical treatment of idiopathic myelocele (clinical case and literature review). The Russian Journal of Neurosurgery. 2011; 3: 59-64 (in Russian).Gnezditskiy V.V. The evoked brain potentials in clinical practice. Taganrog; 1997 (in Russian).Gnezditskiy V.V. The evoked brain potentials in clinical practice. Taganrog; 1997 (in Russian).Batzdorf U. Idiopathic spinal cord herniation: a treatable cause of the Brown-Sequard syndrome-case report. Neurosurgery 1995; 36(5): 1032-3 [comment];Batzdorf U. Idiopathic spinal cord herniation: a treatable cause of the Brown-Sequard syndrome-case report. Neurosurgery 1995; 36(5): 1032-3 [comment];Borges L.F., Zervas N.T., Lehrich J.R. Idiopathic spinal cord herniation: a treatable cause of the Brown-Sequard syndrome-case report.Neurosurgery 1995; 36(5): 1028-32 [discussion 32-3];Borges L.F., Zervas N.T., Lehrich J.R. Idiopathic spinal cord herniation: a treatable cause of the Brown-Sequard syndrome-case report.Neurosurgery 1995; 36(5): 1028-32 [discussion 32-3];Imagama S., Matsuyama Y., Sakai Y., Nakamura H., Katayma Y., Ito Z., Wakao N., Sato K., Kamiya M., Kato F., Yukawa Y., Miura Y., Yoshihara H., Suzuki K., Ando K., Hirano K.,Tauchi R., Muramoto A., Ishiguro N. Image classification of idiopathic spinal cord herniation based on symptom severity and surgical outcome: a multicenter study / J. neurosurg. Spine. 2009. № 11. Р. 310-319.Imagama S., Matsuyama Y., Sakai Y., Nakamura H., Katayma Y., Ito Z., Wakao N., Sato K., Kamiya M., Kato F., Yukawa Y., Miura Y., Yoshihara H., Suzuki K., Ando K., Hirano K.,Tauchi R., Muramoto A., Ishiguro N. Image classification of idiopathic spinal cord herniation based on symptom severity and surgical outcome: a multicenter study / J. neurosurg. Spine. 2009. № 11. Р. 310-319.Jeong-Min Kim, M.D., Se Ho Oh, M.D., Ki-Jeong Kim, M.D., Seong-Ho Park, M.D., Kyung Seok Park, M.D. Idiopathic Spinal Cord Herniation as a Treatable Cause of Progressive Brown-Sequard Syndrome Journal of Clinical Neurology / Volume 3 / December, 2007;Jeong-Min Kim, M.D., Se Ho Oh, M.D., Ki-Jeong Kim, M.D., Seong-Ho Park, M.D., Kyung Seok Park, M.D. Idiopathic Spinal Cord Herniation as a Treatable Cause of Progressive Brown-Sequard Syndrome Journal of Clinical Neurology / Volume 3 / December, 2007;Kumar R., Taha J., Greiner AL. Herniation of the spinal cord. Case report. J Neurosurg 1995; 82(1): 131-6; Nabors M.W., Pait T.G., Byrd E.B., et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 1988; 68(3): 366-77Kumar R., Taha J., Greiner AL. Herniation of the spinal cord. Case report. J Neurosurg 1995; 82(1): 131-6; Nabors M.W., Pait T.G., Byrd E.B., et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 1988; 68(3): 366-77Miyaguchi M., Nakamura H., Shakudo M., Inoue Y., Yamano Y. Idiopathic spinal cord herniation associated with intervertebral disc extrusion / Spine. 2001. № 26 (9).Р. 1090-1094Miyaguchi M., Nakamura H., Shakudo M., Inoue Y., Yamano Y. Idiopathic spinal cord herniation associated with intervertebral disc extrusion / Spine. 2001. № 26 (9).Р. 1090-1094Nabors M.W., Pait T.G., Byrd., et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 1988; 68(3): 366-77Nabors M.W., Pait T.G., Byrd., et al. Updated assessment and current classification of spinal meningeal cysts. J Neurosurg 1988; 68(3): 366-77Najjar M.W., Baeesa S.S., Lingawi S.S. Idiopathic spinal cord herniation: a new theory of pathogenesis. Surg Neurol. 2004; 62(2): 161-170Najjar M.W., Baeesa S.S., Lingawi S.S. Idiopathic spinal cord herniation: a new theory of pathogenesis. Surg Neurol. 2004; 62(2): 161-170Sagiuchi T., Iida H., Tachibana S., Utsuki S., Tanaka R., Fujii K. Idiopathic spinal cord herniation associated with calcified thoracic disc extrusion: case report / Neurol Med Chir. (Tokyo). 2003. № 43. Р. 364-368Sagiuchi T., Iida H., Tachibana S., Utsuki S., Tanaka R., Fujii K. Idiopathic spinal cord herniation associated with calcified thoracic disc extrusion: case report / Neurol Med Chir. (Tokyo). 2003. № 43. Р. 364-368Samer Ghostine, MD, Eli M. Baron, MD, Brian Perri, DO, Paul Jacobson, MD, Delmore Morsette, MD, PhD, Frank P.K. Hsu, MD, PhD Thoracic cord herniation through a dural defect: description of a case and review of the literature Surgical Neurology 71 (2009) 362-367Samer Ghostine, MD, Eli M. Baron, MD, Brian Perri, DO, Paul Jacobson, MD, Delmore Morsette, MD, PhD, Frank P.K. Hsu, MD, PhD Thoracic cord herniation through a dural defect: description of a case and review of the literature Surgical Neurology 71 (2009) 362-367Senturk S., Guzel A., Guzel E. Atypical clinical presentation of idiophatic thoracic spinal cord herniation. Spine (Phila Pa 1976). 2008 Jun 15; 33(14): E474-7Senturk S., Guzel A., Guzel E. Atypical clinical presentation of idiophatic thoracic spinal cord herniation. Spine (Phila Pa 1976). 2008 Jun 15; 33(14): E474-7Shiro Imagama, M.D., Yukihiro Matsuyama, M.D., Yoshihito Sakai, M.D., Hiroshi Nakamura, M.D., Yoshito Katayama, M.D., Zeny a Ito, M.D., Norimitsu Wakao, M.D., Koji Sato, M.D., Mitsuhiro Kamiya, M.D., Fumihiko Kato, M.D., Yasutsugu Yukawa, M.D., Yasushi Miura, M.D., Hisatake Yoshihara, M.D., Kazuhiro Suzuki, M.D., Kei Ando, M.D., Kenichi Hirano, M.D., 1 Ryoji Tauchi, M.D., Akio Muramoto, M.D., and Naoki Ishiguro, M.D. Image classification of idiopathic spinal cord herniation based on symptom severity and surgical outcome: a multicenter study J Neurosurg Spine 11: 310-319, 2009Shiro Imagama, M.D., Yukihiro Matsuyama, M.D., Yoshihito Sakai, M.D., Hiroshi Nakamura, M.D., Yoshito Katayama, M.D., Zeny a Ito, M.D., Norimitsu Wakao, M.D., Koji Sato, M.D., Mitsuhiro Kamiya, M.D., Fumihiko Kato, M.D., Yasutsugu Yukawa, M.D., Yasushi Miura, M.D., Hisatake Yoshihara, M.D., Kazuhiro Suzuki, M.D., Kei Ando, M.D., Kenichi Hirano, M.D., 1 Ryoji Tauchi, M.D., Akio Muramoto, M.D., and Naoki Ishiguro, M.D. Image classification of idiopathic spinal cord herniation based on symptom severity and surgical outcome: a multicenter study J Neurosurg Spine 11: 310-319, 2009Tronnier V.M., Steinmetz A., Albert F.K., et al. Hernia of the spinal cord: case report and review of the literature. Neurosurgery 1991; 29 (6): 916-9)Tronnier V.M., Steinmetz A., Albert F.K., et al. Hernia of the spinal cord: case report and review of the literature. Neurosurgery 1991; 29 (6): 916-9)Urbach H., Kaden B., Pechstein U., et al. Herniation of the spinal cord 38 years after childhood trauma. Neuroradiology 1996; 38(2): 157-8Urbach H., Kaden B., Pechstein U., et al. Herniation of the spinal cord 38 years after childhood trauma. Neuroradiology 1996; 38(2): 157-8Watters Mr., Stears J.C., Osborn A.G., et al. Transdural spinal cord herniation: imaging and clinical spectra. AJNR Am J Neuroradiol 1998; 19(7): 1337-44Watters Mr., Stears J.C., Osborn A.G., et al. Transdural spinal cord herniation: imaging and clinical spectra. AJNR Am J Neuroradiol 1998; 19(7): 1337-44Wortzman G., Tasjer R.R., Rewcastle N.B., Richardson J.C., Pearson F.G. Spontaneous incarcerated herniation of the spinal cord into a vertebral body: a unique cause of paraplegia. Case report. J Neurosurg 1974; 41: 631-635Wortzman G., Tasjer R.R., Rewcastle N.B., Richardson J.C., Pearson F.G. Spontaneous incarcerated herniation of the spinal cord into a vertebral body: a unique cause of paraplegia. Case report. J Neurosurg 1974; 41: 631-635Yune Kwong, George Jakanani, Nitin Rao, and Christopher S. J. Fang MRI findings in herniation of the spinal cord J Radiol Case Rep. 2010; 4(10): 1-5.Yune Kwong, George Jakanani, Nitin Rao, and Christopher S. J. Fang MRI findings in herniation of the spinal cord J Radiol Case Rep. 2010; 4(10): 1-5.

The authors declare that there are no conflicts of interest present.