Idiopathic spinal cord herniation is a rare disease, few cases having
been reported. We encountered a case of idiopathic spinal cord herniat
ion presenting with severe spasticity in the right leg and urinary dys
function. The spinal cord was herniated into a cavity created by dupli
cation of the dura mater and resection of the inner layer improved the
neurological deficits. MRI, myelography, and CT myelography were usef
ul for diagnosing this disease. Four radiological signs of spinal cord
herniation are described.