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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2013; 23(03): 205-207
DOI: 10.4103/0971-3026.120260
Neuroradiology

Herniation of spinal cord into nerve root avulsion pseudomeningocele: A rare cause of delayed progressive neurological deficit

Justin Edmund Moses
Department of Radiology, Arora Neuro Centre, Ludhiana, Punjab, India
,
Sanjay Kumar Bansal
Department of Neurosurgery, Arora Neuro Centre, Ludhiana, Punjab, India
,
Deepak Goyal
Department of Radiology, Arora Neuro Centre, Ludhiana, Punjab, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

We present a patient with old traumatic right brachial plexus injury, who developed progressive neurological deterioration 4 years after the initial injury. On magnetic resonance imaging (MRI), herniation of the upper dorsal cord was noted into a post-traumatic pseudomeningocele. Though the herniation of cord into a post-traumatic pseudomeningocele is very rare, it should be suspected in cases of delayed progressive myelopathy. A three dimensional (3-D) T2-weighted sequence such as Sampling Perfection with Application optimized Contrasts using different flip angle Evolution (SPACE) or constructive interference in steady state (CISS) provides optimal visualization of the herniated cord and helps in surgical planning.

Keywords

Post-traumatic pseudomeningocele - sampling perfection with application optimized contrasts - spinal cord herniation


Publication History

Article published online:
30 July 2021

© 2013. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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