Idiopathic spinal cord herniation: consideration of its pathogenesis based on the histopathology of the dura mater.
Satoru ShimizuYosuke KobayashiHidehiro OkaToshihiro KumabePublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2017)
It is unclear whether the observed degeneration besides the ventral opening was the primary cause of ISCH or reflected secondary changes resulting from cumulative damage due to pulsation of the herniated spinal cord. However, the degeneration limited to the ventral opening suggests that ISCH was a local event in an individual with a normal dural theca.