caa a22 4500 445833564 CHVBK 20180317145323.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1592-6 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1592-6 Thoracic spinal cord herniation in a patient with long-standing ankylosing spondylitis [Elektronische Daten] [Zhen Liu, Wei-jun Wang, Chao Sun, Zhe-zhang Zhu, Yong Qiu] The objective of this study was to describe an adult male patient with ankylosing spondylitis (AS) associated with thoracic spinal cord herniation (TSCH). TSCH is a scarce entity presented as a displacement of thoracic cord through an anterior or anterolateral dural defect. More importantly, the co-occurrence of AS and thoracic spinal cord herniation is exceptional. To date, only one case of SCH in association with AS has been reported in the literature. A 56-year-old male patient presented with the progressive difficulty in walking and numbness of both lower limbs for the past 18months. The patient was diagnosed as AS when he was 30years old. Sagittal MRI of thoracic spine showed dural defect of the posterior aspect of T11 and 12 vertebral bodies. Axial T2-weighted MRI demonstrated that spinal cord was displaced ventrally and to the right. The diagnosis of TSCH with AS was established. The prognosis was explained to the patient. We recommended duraplasty for dural repair to the patient, but he refused surgery. The results demonstrated that TSCH associated with long-standing AS was very uncommon, and MRI is recommended to rule out SCH in the long-standing AS patients with neurologic symptoms. The SCH in AS might be caused by inflammation, and thoracolumbar hyperkyphosis results from AS might be associated with the development of SCH. Springer-Verlag, 2010 Ankylosing spondylitis nationallicence Thoracic spinal cord herniation nationallicence Liu Zhen Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut Wang Wei-jun Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut Sun Chao Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut Zhu Zhe-zhang Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut Qiu Yong Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut European Spine Journal Springer-Verlag 20(2011-07-01), 222-226 0940-6719 20<222 2011 20 586 https://doi.org/10.1007/s00586-010-1592-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1592-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Liu Zhen Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut NATIONALLICENCE 700 1- Wang Wei-jun Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut NATIONALLICENCE 700 1- Sun Chao Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut NATIONALLICENCE 700 1- Zhu Zhe-zhang Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut NATIONALLICENCE 700 1- Qiu Yong Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20(2011-07-01), 222-226 0940-6719 20<222 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer