case_images: PMC5764918_01
case_images: Axial T2-weighted images. Right image showing normal position of the cervical cord at level C3. Left image at level C7 showing left-sided cord herniation: anterior and left-sided displacement of the cord towards the foramen of root C8 resulting in the stretching and flattening of the cord. Sagittal T2-weighted left-sided off midline image. Anterior displacement of the cord against the posterior aspect of level C4 to C6 and posterior indentation on/anterior angulation of the cord on level C7
case_images: SNI-8-305-g001.jpg
case_images: PMC5764918_01_SNI-8-305-g001.jpg
case_images: F1
case_images: T2-weighted magnetic resonance imaging (MRI) (1.5 T) revealed left-sided SCH at the C7 root level; this was characterized by anterior left-sided displacement of the spinal cord towards the C8 root foramen with stretching and flattening of the cord [Figure 1].
case_images: Coronal T2 myelography. Left-sided displacement of the cervical cord (arrows A) due to cord herniation. Note the prominent myelocoele (B) at level C6-C7 on the left after prior traumatic root avulsion
case_images: SNI-8-305-g002.jpg
case_images: PMC5764918_01_SNI-8-305-g002.jpg
case_images: F2
case_images: MR myelography demonstrated left-sided displacement of the spinal cord due to SCH as well as a prominent myelocoele at level C6-C7, the site of the prior traumatic root avulsion [Figure 2].
case_images: Intraoperative image of the SCH and the dural defect
case_images: SNI-8-305-g003.jpg
case_images: PMC5764918_01_SNI-8-305-g003.jpg
case_images: F3
case_images: The herniated spinal cord was reduced intradurally [Figure 3], and was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura, e.g. according to the Batzdorf technique) [Figures 4-9].
case_images: Intraoperative image of the Batzdorf repair of the SCH using an artificial membrane
case_images: SNI-8-305-g004.jpg
case_images: PMC5764918_01_SNI-8-305-g004.jpg
case_images: F4
case_images: The herniated spinal cord was reduced intradurally [Figure 3], and was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura, e.g. according to the Batzdorf technique) [Figures 4-9].
case_images: Cadaver image of a C6-C7 laminectomy with creation of an artificial root avulsion
case_images: SNI-8-305-g005.jpg
case_images: PMC5764918_01_SNI-8-305-g005.jpg
case_images: F5
case_images: The herniated spinal cord was reduced intradurally [Figure 3], and was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura, e.g. according to the Batzdorf technique) [Figures 4-9].
case_images: Intradural cadaver image demonstrating the root avulsion with the dural defect
case_images: SNI-8-305-g006.jpg
case_images: PMC5764918_01_SNI-8-305-g006.jpg
case_images: F6
case_images: The herniated spinal cord was reduced intradurally [Figure 3], and was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura, e.g. according to the Batzdorf technique) [Figures 4-9].
case_images: Cadaver image of the wrapping of the dural defect at the nerve root avulsion using an artificial membrane
case_images: SNI-8-305-g007.jpg
case_images: PMC5764918_01_SNI-8-305-g007.jpg
case_images: F7
case_images: The herniated spinal cord was reduced intradurally [Figure 3], and was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura, e.g. according to the Batzdorf technique) [Figures 4-9].
case_images: Cadaver image of the fixation of the artificial membrane. Note that for demonstrative purpose the dural defect is still shown
case_images: SNI-8-305-g008.jpg
case_images: PMC5764918_01_SNI-8-305-g008.jpg
case_images: F8
case_images: The herniated spinal cord was reduced intradurally [Figure 3], and was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura, e.g. according to the Batzdorf technique) [Figures 4-9].
case_images: Cadaver image of the dural closure with the artificial membrane subdural between the spinal cord and the dura
case_images: SNI-8-305-g009.jpg
case_images: PMC5764918_01_SNI-8-305-g009.jpg
case_images: F9
case_images: The herniated spinal cord was reduced intradurally [Figure 3], and was covered with a Neuropatch membrane wrapped around the spinal cord (between the spinal cord and the dura, e.g. according to the Batzdorf technique) [Figures 4-9].