[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-435996-105":59,"doc-detail-435996-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","idiopathic-anterior-herniation-of-the-thoracic-cord-a-review","Idiopathic anterior herniation of the thoracic cord - a review","","Idiopathic spinal cord herniation (ISCH) is a rare condition caused by a dural defect, producing ventral displacement of the spinal cord. The etiology remains unclear, with typical presentation in middle-aged women and progressive myelopathy. Surgical treatment is the preferred option to prevent neurological deterioration. A case report describes a 45-year-old man with progressive myelopathy, diagnosed by MRI and CT, treated with laminectomy, hernia reduction, and duroplasty with successful resolution.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/idiopathic-anterior-herniation-of-the-thoracic-cord-a-review/435996/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/idiopathic-anterior-herniation-of-the-thoracic-cord-a-review/435996.png","ImageObject",300,407,{"name":92,"@type":93},"Eliana","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What causes idiopathic spinal cord herniation (ISCH)?","Question",{"text":112,"@type":113},"ISCH is caused by a defect in the dura mater, leading to ventral displacement of the spinal cord. The exact etiology is not fully understood.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is ISCH diagnosed in the case report?",{"text":117,"@type":113},"Diagnosis was confirmed using magnetic resonance imaging (MRI) and computed tomography (CT) myelography. Imaging showed a ventral medullary hernia at the T2–T3 level.",{"name":119,"@type":110,"acceptedAnswer":120},"What treatment was performed and what was the outcome?",{"text":121,"@type":113},"The patient underwent T2–T3 laminectomy, hernia reduction with cord release, and duroplasty to correct the dural defect. Postoperative follow-up showed complete resolution of the ventral medullary hernia, with symptom improvement.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},435996,1790717516,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},4398048949847,"https://ap-avatar.wpscdn.com/avatar/400002536579ef2da7f?_k=1778318612642679267","Article published online: 2025-11-28  \nReview Article 1  \nIdiopathic anterior herniation of the thoracic cord: a review  \nAna Cristina Veiga Silva 1,4 Raívson Diogo Félix Fernandes2 Emanuella Arruda do Rêgo Nóbrega2 Joaquim Fechine de Alencar Neto2 Otávio da Cunha Ferreira Neto3  \nRocymar Rebouças Oliveira Júnior2 Lidemarks Irineu Andrade 1 Rita de Cassia F. Valença Mota 1 Antônio Rodrigues de Aguiar Neto 1 Geraldo de Sá Carneiro Filho 1 Deoclides Lima Bezerra Junior4 Hildo Rocha Cirne de Azevedo Filho 1,4  \n1 Hospital da Restauração, Departamento de Neurocirurgia, Recife PE, Brazil.  \n2 Centro Universitário Unifacisa, Faculdade de Ciências Médicas, Campina Grande PB, Brazil.  \n3 Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas, Departamento de Cirurgia e Anatomia, Divisãode Neurocirurgia, Ribeirão Preto SP, Brazil.  \n4 Universidade Federal de Pernambuco, Programa de Pós-Graduaçãoem Neurociências, Recife PE, Brazil.  \nArq. Neuro-Psiquiatr. 2025;83(11):s00451812297 .  \nAddress for correspondence Raívson Diogo Félix Fernandes (email: [raivsondff@gmail.com](raivsondff@gmail.com))  \nAbstract  \nKeywords  \n► Hernia  \n► Idiopathic  \n► Review  \n► Spinal Cord  \n► Spinal Cord Diseases  \n► Thoracic Vertebrae  \nIdiopathic spinal cord herniation (ISCH) is a rare condition caused by a defect in the dura mater, resulting in ventral displacement of the spinal cord. Its etiology is not fully understood, but it mainly affects middle-aged women and manifests as progressive myelopathy. Surgical treatment is the best option to avoid neurological worsening. This report presents a case of spinal cord herniation in a 45-year-old man, complaining of numbness for 4 months, with paraparesis that progressed to gait disorder. This condition was diagnosed by magnetic resonance imaging and computed tomography. The patient underwent T2 to T3 laminectomy, hernia reduction, and duroplasty, with successful resolution of the condition.  \nINTRODUCTION  \nIdiopathic spinal cord hernia (ISCH) is a condition characterized by ventral displacement of spinal cord fibers, through a failure in the dural structure, whether congenital or acquired.1 Its etiology is the subject of extensive debate but the trigger mechanism is not yet well established, being attributed to a defect in the dura mater that causes spinal cord herniation.2  \nThe first description of a case reporting this idiopathic condition was made by Wortzman in 1974.3 The condition has higher incidence in females, usually in the intermediate decades of life, with a mean age of 49 years.4 The most  \nreceived March 13, 2025 accepted August 2, 2025  \nDOI [https://doi.org/](https://doi.org/)[ ](https://doi.org/)10.1055/s-0045-1812297 . ISSN 0004-282X.  \nEditor-in-Chief: Hélio A. G. Teive.  \nAssociate Editor: Eduardo Genaro Mutarelli.  \ncommon clinical presentation is slowly progressive myelopathy, characterizing Brown-Séquard syndrome.5 Surgical management is considered the best approach for symptomatic patients with ISCH, because it has favorable neurological outcomes and generally prevents further clinical deterioration.6  \nThe present article analyzed 62 cases of ISCH and revealed a balanced gender distribution, with a mean age of 49.94 years. Complete anterior herniation was the most prevalent (76.47%) . The main symptoms included weakness in the lower limbs, back pain and Brown-Séquard syndrome. The most common treatment was laminectomy with duroplasty, showing significant improvement in the majority of patients.  \n© 2025 . The Author(s) .  \nThis is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit ([https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/))  \nThieme Revinter Publicações Ltda. , Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil  \n2 ","cbCaikPu0Rr8PjYX","https://ap.wps.com/l/cbCaikPu0Rr8PjYX","pdf",1199014,"English","# Abstract\n# Introduction\n# Case report\n## Presentation and diagnosis\n## Treatment and follow-up\n# Discussion","[{\"question\":\"What causes idiopathic spinal cord herniation (ISCH)?\",\"answer\":\"ISCH is caused by a defect in the dura mater, leading to ventral displacement of the spinal cord. The exact etiology is not fully understood.\"},{\"question\":\"How is ISCH diagnosed in the case report?\",\"answer\":\"Diagnosis was confirmed using magnetic resonance imaging (MRI) and computed tomography (CT) myelography. Imaging showed a ventral medullary hernia at the T2–T3 level.\"},{\"question\":\"What treatment was performed and what was the outcome?\",\"answer\":\"The patient underwent T2–T3 laminectomy, hernia reduction with cord release, and duroplasty to correct the dural defect. Postoperative follow-up showed complete resolution of the ventral medullary hernia, with symptom improvement.\"}]","Idiopathic anterior herniation of the thoracic cord - a review | PDF",1790676348,15]