Ventral cord herniation is an uncommon yet potentially curable form of thoracic myelopathy characterized by progressive neurological deficits, accompanied by distinctive imaging findings ^1-3. Early diagnosis facilitated by MRI can play a pivotal role in identifying the condition and enabling timely intervention, which, in turn, can potentially reduce neurological deficits ^1-3. The presented case demonstrates typical radiological appearances of a ventral cord herniation subsequently confirmed through surgical exploration. 

Case courtesy

• Ana Cristina Veiga Silva, neurosurgeon, MD - Department of Emergency

• Diego Sousa, former radiology resident - Department of Radiology

• Geraldo Sá MD, neurosurgeon - Department of Neurosurgery

• Silvio Litvin MD, radiologist (retired) - Department of Radiology

• Antonio Rodrigues de Aguiar Neto MD, radiologist - Department of Radiology

Hospital da Restauração – Recife, PE – Brazil