TY - JOUR PY - 2018// TI - Spinal meninges and their role in spinal cord injury: a neuroanatomical review JO - Journal of neurotrauma A1 - Grassner, Lukas A1 - Grillhösl, Andreas A1 - Griessenauer, Christoph A1 - Thomé, Claudius A1 - Bühren, Volker A1 - Strowitzki, Martin A1 - Winkler, Peter SP - 403 EP - 410 VL - 35 IS - 3 N2 - Current recommendations support early surgical decompression and blood pressure augmentation after traumatic spinal cord injury (SCI). Elevated intraspinal pressure (ISP), however, has probably been underestimated in the pathophysiology of SCI. Recent studies provide some evidence that ISP measurements and durotomy may be beneficial for individuals suffering from SCI. Compression of the spinal cord against the meninges in SCI patients causes a 'compartment-like' syndrome. In such cases, intentional durotomy with augmentative duroplasty to reduce ISP and improve spinal cord perfusion pressure may be indicated. Prior to performing these procedures routinely, profound knowledge of the spinal meninges is essential. Here, we provide an in-depth review of relevant literature along with neuroanatomical illustrations and imaging correlates.

Language: en

LA - en SN - 0897-7151 UR - http://dx.doi.org/ ID - ref1 ER -