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Fig. 3 | BMC Neurology

Fig. 3

From: Long-term course of anterior spinal cord herniation presenting with an upper motor neuron syndrome: case report illustrating diagnostic and therapeutic implications

Fig. 3

Schematic depiction of progressive anterior spinal cord herniation. a Schematic drawing of the central position of the thoracic spinal cord within the dura. The ventral dural defect may have been caused by congenital, traumatic and/ or degenerative changes. b The 8 years follow-up MRI showed ventral displacement of the spinal cord (red) as an early sign of aSCH without sensory symptoms. c When sensory symptoms evolved and surgery was performed, a substantial part of the anterior hemicord was herniated through the dural defect. 1 Vestibulospinal tract, 2 Olivospinal tract, 3 Rubrospinal tract, 4 Lateral corticospinal tract, 5 Tectospinal tract, 6 Anterior corticospinal tract, 7 Anterior reticulospinal tract, 8 Anterior spinothalamic tract, 9 Anterior spinocerebellar tract, 10 Lateral spinothalamic tract, 11 Posterior spinocerebellar tract, 12 Fasciulus gracilis

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