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Magnetic resonance image findings and surgical considerations in T1-2 disc herniation
H Caner1, B F Kilinçoglu, S Benli
1Department of Neurosurgery, Baskent University, Faculty of Medicine, Ankara, Turkey.
Objective:
To report a case of disc herniation at T1-2.
Clinical Presentation:
A 57-year-old man presented with hand weakness, Horner's syndrome, and pain radiating along the medial aspect of one upper extremity. Magnetic resonance imaging demonstrated extruded T1-2 disc herniation with upward herniation of a sequestrated fragment.
Intervention:
An anterior approach was used to excise the disc, that was compressing the spinal cord and the T1 nerve root. All the patient's symptoms resolved completely, including Horner's syndrome.
Conclusion:
Anterior discectomy may be the simplest and most effective method for disc excision and relief of spinal cord and T1 nerve root compression.