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Dorsally sequestrated thoracic disc herniation--case report.

A Morizane1, J Hanakita, H Suwa

  • 1Department of Neurosurgery, Shizuoka General Hospital, Japan.

Neurologia Medico-Chirurgica
|December 22, 1999
PubMed
Summary
This summary is machine-generated.

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A rare case of dorsal thoracic disc herniation caused acute back pain and weakness. Magnetic resonance imaging effectively diagnosed this condition, leading to a successful surgical recovery.

Area of Science:

  • Neurosurgery
  • Radiology
  • Spinal Surgery

Background:

  • Thoracic disc herniations are uncommon, particularly dorsal sequestrations.
  • This case highlights a rare presentation of acute low back pain and neurological deficits attributed to a thoracic disc issue.

Observation:

  • A 53-year-old male presented with acute low back pain and weakness without trauma.
  • Magnetic resonance (MR) imaging revealed a dorsal T10-11 disc herniation compressing the thecal sac.
  • Gadolinium-enhanced MR imaging showed minimal rim enhancement; computed tomography ruled out calcification.

Findings:

  • MR imaging confirmed a dorsal sequestrated thoracic disc herniation at T10-11.
  • The herniated disc material laterally and dorsally compressed the dural sac.

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  • Surgical laminectomy led to rapid and satisfactory patient recovery.

    • Implications:

    • Accurate diagnosis of rare thoracic disc herniations is crucial for effective treatment.
    • MR imaging is a key diagnostic tool, demonstrating the disc-mass connection.
    • Differential diagnoses for dorsal spinal masses include tumors, hematomas, and abscesses.