Clinical and imaging diagnosis of idiopathic spinal cord herniation: A case report

Abstract Idiopathic spinal cord herniation (ISCH) is a rare condition characterized by ventral displacement of the spinal cord, resulting in neurological impairment. This report aimed to present a rare case of ISCH, focusing on its clinical features, diagnostic challenges, and treatment considerations. A 42-year-old woman presented to our hospital with leg twitching, right leg weakness, urine retention, and incontinence for 3 months. Neurological examination revealed mild weakness in the right lower limb, positive Babinski sign, and decreased pinprick sensation below bilateral T5. The imaging findings confirmed the characteristic features of ISCH. The patient was treated surgically. ISCH is a rare condition causing progressive thoracic myelopathy. Mostly, image studies show spinal cord displacement, subarachnoid space widening, and posterior cerebrospinal fluid flow artifacts. Early diagnosis and surgical treatment are crucial as ISCH is a treatable spinal cord disease. Surgical intervention is recommended for patients with motor deficits or progressive symptoms.