Idiopathic Spinal Cord Herniation: Report of Two Cases

Idiopathic Spinal Cord Herniation (ISCH) is a rare condition that primarily affects the thoracic spine. It is increasingly recognised as a reversible cause of myelopathy. The condition predominantly affects middle aged adults and is characterised by an anterior dural tear through which the cord herniates. Despite its characteristic radiological appearances the condition is often misdiagnosed. We present two cases of ISCH and describe the treatment options. The literature review also discusses important diagnostic features.